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 and was greeted and granted entry by care staff and LPA explained the nature of the visit.

Four clients reside at this facility; LPA was informed clients were out in the community. At the time of visit a client arrived to the facility. LPA accompanied by care staff began the tour of the inside and outside of the facility.

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, freezer and pantry located in garage. The facility is maintained at a comfortable temperature.

LPA inspected that medication is centrally stored in a safe locked storage cabinet located in the kitchen. 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 111.3 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. The facility is