Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility was greeted and granted entry by staff and explained the nature of the visit. Four clients reside at this facility and LPA was informed that all clients were out in the community.

At 9:30am LPA began the tour of the inside and outside of the facility. LPA observed a sign-in procedure in place and LPA was check in with temperature checks. LPA observed required Department postings throughout the facility. LPA observed that the facility stays within the capacity limitations. There is a minimum of one week of non-perishables food and two days of perishables foods available. There is additional food storage in attached garage in refrigerator. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked underneath kitchen sink and locked in garage inaccessible to clients. The facility is maintained at a comfortable temperature. At 10:10am LPA measured the hot water temperature which measured 106.7 Fahrenheit Degrees. All bathrooms observed to have a supply of soap, toilet paper and paper towels. The facility provides personal hygiene items for clients use. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. The facility has an available a clean supply of linens. LPA inspected client’s bedrooms which had sufficient lighting to ensure the safety and comfort of each client. Storage space is provided for clients in their bedroom. LPA inspected that medication are centrally stored in a safe locked storage in med cart. LPA reviewed medication and observed medication was labeled and store inaccessible to clients in care. LPA observed the outside of the parameters of facility and observed outdoor passageways are free of obstruction. LPA observed there is shaded seating for clients use. Smoke detectors and alarms were tested and found to be operational. During the inspection LPA reviewed three staff records, four client records