Facility Evaluation Report

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of a health and safety check and to conduct an Annual Inspection. LPA met with Administrator (AD) Leoncio Canlas and discussed the purpose of the inspection.

During the inspection, LPA reviewed Infection Control requirements. At about 1:30PM, LPA and AD conducted a tour of the inside and outside of the facility, common areas, client rooms, kitchen, and garage and observed the following: Structure. This is a one-story home. Facility is a 6-bedroom, 4-bathroom, one-story house with an attached garage that is being used for storage. LPA observed 2 staff and 3 clients present at the facility. Client Bedrooms. The 3 client bedrooms are spacious and will easily accommodate the clients’ furnishings. Staff Bedrooms. The 2 staff bedrooms are spacious and will easily accommodate the staff’s furnishings. Bathrooms. Bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 107 and 108.1 F degrees. LPA inspected all rooms in the facility. Linens & Hygiene Supplies. New linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: Reviewed. Food Service. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher were observed and tested, including the wired smoke detectors/carbon monoxide detectors. Appliances. Stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen drawer. Toxins: observed locked under the kitchen sink and in the garage. Medication cabinet is locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 2:00PM, LPA reviewed 3 client files and 3 staff files, interviewed 3 clients and 2 staff, inspected medications for 3 clients, and inspected client money and ledger for 3 clients. During the inspection, LPA and AD observed the following: 3 out of 3 client rooms did not have a lamp and 2 out of 3 client rooms did not have a chair; although there is shaded space in the backyard, there were no chairs for clients; the administrator’s file did not contain records for HIV/TB training completed within the last 2 years. LPA provided technical assistance regarding nightlights and the emergency disaster plan.