Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Clinical Director Rey Phillip and explained the reason for the visit. LPA and the Clinical Director toured the facility. Facility has 3 bedrooms, 2 bathrooms, living room, dining room with a screened fireplace, staff office, medication room, and a 2 car garage. LPA observed the kitchen is clean and organized. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. Smoke detectors/carbon monoxide detectors tested operational. The fire extinguishers are fully charged. LPA observed the client bedrooms have all the required furnishings. The client bathrooms are clean and operational. Hot water measured 105.0 to 109.5 degrees Fahrenheit. LPA observed the fireplace in the dining room is screened. LPA observed games and books stored in the living room for the clients. LPA observed medications and sharp objects are kept locked in the medication room. LPA and staff toured the backyard and garage. The garage is used for storage and as an extra office space. The backyard has a shaded patio with seating. No bodies of water observed. The exit gate is latched and self closing. No obstacles or hazards observed in the backyard. LPA reviewed 6 client files and medications, no discrepancies observed. LPA reviewed staff files and training. All direct care staff have the required training and first aid training. LPA inspected the first aid kit. The first aid kit has all the required elements. No deficiencies are being cited as a result of this visit. LPA consulted with the Clinical Director regarding reporting requirements. An exit interview was conducted and a copy the report provided.