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. Yvette Doran, Administrator arrived shortly after and met with LPA.

Four clients reside at this facility, LPA was informed three clients were out in the community and one client was at facility. Upon entry LPA observed one client in living room watching movies. 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 and garage pantry. The facility is maintained at a comfortable temperature. LPA inspected that medication are centrally stored in a safe locked storage in kitchen cabinet. LPA reviewed medication and observed medication was labeled and store inaccessible to clients in care. At 10:20am LPA measured the hot water temperature which measured 115.7 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 linen. LPA inspected client’s bedrooms which had sufficient lighting to ensure the safety and comfort. Storage space is provided for clients in their bedroom. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored and locked in garage inaccessible to clients. Smoke detectors and alarms were tested and found to be operational. LPA toured the outside of the parameters of facility and observed outdoor passageways are free of obstruction. LPA observed there is seating areas for clients in the front patio and backyard of the house.