Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit on 4/24/2023 at 09:17 a.m. LPA was granted entry and met with staff, Sean Smith who was informed of the purpose of the visit. The administrator arrived at the facility after LPA who was also informed of the purpose of the visit. At the time of the visit there was (2) staff and (1) clients present.

The facility is a two story home with (5) bedrooms and (4) bathrooms for clients. The clients served are adults between the ages of 18-59. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted staff and client interviews. LPA observed the following:

Infection Control: The LPA observed the hand washing stations in the facility restrooms. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan and found all required infection control measures.

Physical Plant: LPA observed the client bedrooms. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. Laundry room was observed to be have a laundry detergent that was left in unlocked laundry room. Cleaning supplies were unlocked in cabinet in laundry room as well. Staff secured the cleaning supplies in front of LPA. LPA also observed (2) unlocked scissors on the kitchen counter. LPA cited this deficiency and created a plan of correction with the facility administrator. The LPA was informed by staff that the laundry washer had needed repair on Friday and was scheduled to me repair tomorrow on Tuesday. LPA was informed by administrator was plan, in case the repairs are delayed to clean resident and facility laundry.

Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods.

Care & Supervision / Administration: Adequate staff are present for the supervision of clients. Floor plans, telephone numbers and personal rights were found in the facility. The listed administrator, possesses a current administrator's certificate.