Facility Evaluation Report

Licensing Program Analyst (LPA) Victoria Bertozzi arrived unannounced, to conduct a Post Licensing inspection and was greeted by House Manager, Rowena Radana. Administrator, Jenero Jefferson arrived later but was unable to stay for entire inspection so gave permission for House Manager to sign report.

LPA initiated a tour of the facility around 1:30pm and observed the following: Facility was a comfortable temperature and passageways were free from obstructions. Water temperature in clients' bathroom measured at 107 degrees F which is within allowable range of 105 to 120 degrees F. Cabinet containing cleaning supplies and other items that could pose a risk were locked. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked.

Fire extinguisher was last serviced May 2023. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Facility conducts regular disaster drills and the most recent drill was conducted June 2023.

Six staff files and five client files were reviewed. Staff have required First Aid and CPR certificates. Medications and medication records were reviewed as well as client P&I. Review of facility's Surety Bond showed that client P&I exceeds the amount covered on the Surety Bond. Staff and resident files have not been updated since the recent Change of Ownership.