Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Marin made an unannounced required annual inspection in this facility. Via phone, LPA Marin spoke to Licensee (LE) Gerald Jones and stated the purpose of this visit. Home Manager (HM) Keegan Cunningham arrived in the facility shortly after.

The facility is a single level structure and licensed for four ambulatory only.

About 1:45 PM, LPA Marin was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. For this visit, LPA observed two clients in care and two staff members on the floor. LPA toured the interior and exterior portions of the facility. There were four private client's rooms. Rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke, carbon monoxide, and auditory exit alarms were tested to be operational. Bathrooms were observed to be in good repair. Hot water was measured at 107 degrees Fahrenheit. Facility met the minimum two day supply of perishable and seven day supply of non-perishable food stock requirements. Medications, cleaning supplies and sharp items were inaccessible to clients in care. Facility had supplies of personal protective equipment in place. Fire extinguisher was mounted and charged. For the exterior portion, facility had garden furniture in good repair; and grounds were free of tripping hazards. LPA Marin reviewed the COVID 19 mitigation plan of the facility.

For this visit, no immediate threat on the health and safety of clients in care was observed.

LPA Marin conducted an phone exit interview with Licensee (LE) Gerald Jones ; LE gave permission to have HM Cunningham to sign and receive the report. Copy of this report was left in the facility.