Facility Evaluation Report

Licensing Program Analyst (LPA) Andrew Martinez made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with facility Direct Support Professional (DSP) staff Kojo Gaisie and Rinny Tapan, and discussed the purpose of the visit. LPA conducted a general inspection walk through of facility with DSP Tapan, which included, but was not limited to, the following:

Physical Plant: The facility is a single-story (4) client bedroom, (1) staff bedroom, (3) bathroom Adult Residential Facility (ARF) home operating in approved licensed capacity by the Community Care Licensing Division (CCLD), with a current census of (3). The facility has no swimming pools or similar bodies of water. The facility is equipped with sufficient indoor and outdoor space and seating for client activities; all indoor and outdoor passageways were kept free of obstruction. The facility indoor temperature was maintained at 74 degrees Fahrenheit. Cleaning supplies, toxins, and sharps were kept locked and inaccessible to clients in care. The home has two fireplaces that require to be made inaccessible to clients; a Type B deficiency cited.

Bedrooms: Client bedrooms were furnished with mattresses, night stands, chairs, storage space, and sufficient lighting. No client bedrooms is a passageway to another bedroom.

Bathrooms: Client bathrooms were maintained clean and fixtures were operating properly. Hot water temperatures in the bathrooms was measured at 114 degrees Fahrenheit.

Food Service: Kitchen and dining areas were maintained cleaned. Non-perishable and perishable food supply is sufficient for number of clients in care. Facility refrigerators and freezers were maintained in healthful manner.