Facility Evaluation Report

Licensing Program Analyst (LPA) Samer Haddadin made an unannounced visit for the purpose of completing an annual required inspection. LPA met with Staff (S1) Charly Caoleng and discussed the purpose of the inspection.

Five clients reside at this facility in which three were present and Two at day program.

facility is a 6-bedroom, 2-bathroom, one-story house with a detached garage that is being used for storage. LPA observed the medication cabinet unlocked and unsecured; staff immediately locked it and secured the cabinet.

LPA reviewed medication and observed medication was labeled and stored inaccessible to clients in care. LPA inspected the bathroom and LPA measured the hot water temperature which measured 108.6 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies.

LPA observed that toxic chemicals, cleaning solutions and disinfectants were NOT secured and were stored under the kitchen sink accessible to clients in care.

The facility has an available clean supply of linens. LPA inspected client’s bedrooms which has sufficient lighting to ensure the safety and comfort. All bedrooms observed to have all required components. Storage space is provided for clients in their bedroom. Smoke detectors were tested and found to be operational. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. LPA observed there is shaded seating areas for client’s enjoyment.

LPA observed required department postings posted on the wall of facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishables foods available. There is additional food storage in the spare refrigerator and pantry located in garage.