Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola and Seo Jeon conducted an unannounced visit to the facility for a required annual inspection. LPA was met with Licensee, Erica Bullock, who was informed of the purpose of the visit. There were (2) staff and (4) clients present at the time of the visit. Clients left for the community during the time of the visit.

Facility is a two story home with (4) bedrooms and (2) bathrooms. The facility has no pool and no firearms are being stored.

LPA observed the physical plant floors doors and windows, fixtures and furniture were present. LPAs observed no shaded area in the backyard for clients, and several flies and dead flies on the floor of the dinning area. The backyard sliding door does not have a screen door. There are extra linens and hygiene items, for clients and cleaning supplies. Facility kitchen met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Locked items were observed such as medications, sharps, and cleaning supplies. The hot water temperature was observed at 114.8F.

(5) Client files and (2) staff files were reviewed during the time of the visit. (2) clients and (1) staff did not have results of a TB test and care plans for (4) clients were not signed or dated. (2) clients did not have a signed LI C613 Personal Rights form in their files. All staff present are fingerprint cleared and staff schedule was observed to have coverage at all times. The facility does not handle client finances per the licensee.