Facility Evaluation Report

Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted, granted entry into the facility and temperature was checked by Staff. LPA explained the reason for the visit with Administrator Michael San Diego.

During the visit LPA toured the facility with Administrator Michael San Diego. Facility is a Level 4D facility. Facility is a 6 bedroom,(5 client bedrooms 1 staff bedroom) and 2 bathrooms single story home. There are 5 Clients in care. LPA observed Clients relaxing in living room, watching TV and relaxing in bedrooms. Clients appeared neatly dressed and well groomed. LPA observed proper covid signage at front entrance of facility as well as a sink upon entry with a sanitization station. Facility has required Department postings. LPA toured all Clients rooms, all rooms where within department guidelines. All restrooms observed contained working wash basin, soap and toilet paper. Facility has hand washing signs. Facility has audible alarms for each sliding door entrance/exit. Facility has 2 fire extinguishers which are mounted and fully charged. Facility water Temperature was measured at 109.4 Degrees Fahrenheit. Facility has ample supply of PPE. Facility has 2 refrigerators and pantry's with ample food supply. LPA observed facility has emergency food and water supply. Facility has required Emergency Disaster Plan and mitigation plan posted. Facility has a secured location for client medication and files. Facility has 30 days supply of medications for clients. LPA reviewed clients files during visit. Clients emergency contact information and Physicians reports are current. LPA reviewed 5 out of 5 files. LPA toured outside areas of facility. LPA observed secure location for hazardous toxins. Facility has designated visitation areas.

No deficiencies noted during todays visit. An exit interview was conducted with Administrator Michael San Diego and a copy of report was left at facility