Facility Evaluation Report

Licensing Program Analyst (LPA) Lydia Martinez made an announced visit to the facility to conduct a Required - 1 Year inspection. LPA was greeted and granted entry by Staff Dolores Alapati and reason for visit was stated. Administrator Boyd Bradshaw has a current Administrator Certificate which expires on 12/23/2023. Two staff and four clients were present during today's visit. LPA Martinez, along with Staff Alapati toured the inside and outside of facility. LPA observed required postings at the entrance of the facility. There is Live-in staff. The kitchen was clean and well organized. All knives and sharp objects are inaccessible to clients. The facility has a two day supply of perishable food items, a seven day supply of non perishable food items, and a variety of fruit available. All hazardous chemicals are locked and made inaccessible to clients. Fire Extinguisher was mounted and charged, last serviced on 06/28/2023. The garage was clean, organized and walkways were free of tripping hazards. LPA observed a variety of food items and an emergency supply of water and food. LPA observed emergency bags and emergency kits prepared and ready to go for each client in care. Client bedrooms were clean, well organized, and equipped with all the necessary requirements: night stand, chair, lamp and storage space. Bathrooms were clean and sanitary. Hot water temperature in client bathrooms was within regulatory requirements. The backyard area was clean, organized and free of clutter and walkways were free of tripping hazards. Ample supply of linen and hygiene supplies were observed to meet the needs of all clients in care. Emergency Phone Numbers and Exit Plan was in place. Fire drills are conducted monthly and LPA verified last Fire Drill was conducted on 07/09/2023. Medications are centrally stored in a locked kitchen cabinet. Medications reviewed appear to have been dispensed accurately. First-Aid Kit had all the required elements and Activity Supplies were observed and available. There is a working land line at the facility. The LIC610D, Emergency Disaster Plan is posted. LPA reviewed four client files and two staff files. LPA interviewed clients and staff. The clients P&I records were reviewed, LPA observed that an individual log is maintained for each client.

Based on observations made, no deficiencies were observed at this time in the areas evaluated. Copy of this report will be sent to email on file.