Facility Evaluation Report

On 4/25/2023, Licensing Program Analyst (LPA) D. Ayers arrived unannounced to conduct a required annual inspection. LPA met with Director Christina Hunt and announced the purpose of the inspection. Director's Administrator Certificate is current with renewal date 5/10/2024.

LPA toured the facility. All passageways and exits were clear and free from obstruction. The facility has a centralized fire alarm system and sprinklers throughout the facility. Fire extinguishers are present and recently serviced. Emergency disaster drills were logged and facility maintains adequate disaster/emergency plan. LPA inspected 3 activity rooms, 2 facility bathrooms, facility kitchen, gymnasium, and client and staff records. LPA observed rooms clean, organized and in good repair. Additionally, LPA observed bathrooms are in safe, sanitary and in good working order. All medications and sharps were observed locked, cleaning toxins in the main activity room are stored locked under the sink cabinet.

This facility administers medications for six clients. The centralized medication logs were reviewed and found accurate. Client's files were found to be complete and current. A review of staff records indicates that all facility staff have received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated staff responsible for the care of clients had current first aid/CPR certificates. LPA reviewed records of vehicle maintenance.

At 3:00 pm LPA observed the facility kitchen to be generally unclean, with carrots and onion peels on the ground. LPA observed many stains on the kitchen floors as well as various cardboard boxes in the kitchen. At 3:45 pm, LPA observed a ladder which was propped against the wall in the facility outdoor open porch area, as well as strings of Christmas lights which were strung along the trees in the area and which presented possible tripping hazards. See 809-D for two Type B deficiencies cited in accordance with Title 22 of the CA Code of Regulations. A copy of this report, appeal rights, 809-D were provided and exit interview conducted with Director Christina Hunt.