Facility Evaluation Report

On 9/21/23 at approximately 8:45am Licensing Program Analyst (LPA) Jennifer Fain arrived at this facility unannounced to conduct an annual inspection visit. LPA met with the Kiesha Leggs and explained the purpose of the visit.

LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms, resident bathrooms, laundry room, living area, and outside of the facility to ensure compliance with Title 22 regulations. Facility has 3 bedrooms and 2 bathrooms for resident use. LPA also conducted the inspection using the CARE tool. Facility currently provides care for 6 ambulatory residents.

Residents were away at day program during visit.

During this inspection 3 of 6 resident files and 2 of 6 staffing files were reviewed for regulatory compliance. Staff files contained required contents including staff training requirements. All staff noted on LIC 500 contained criminal background clearances.Resident files reviewed contained all required contents including updated admission agreements, medical assessments, and updated appraisal forms as required.

Water temperature in common bathroom reads 120F* which is within the regulated temperature range of 105*F to 120*. Temperature on the heating and air unit read 74*F. LPA observed the facility to have adequate food supply. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were tested and in working order. Fire extinguisher was checked 9/29/23. All toxins and other dangerous items including sharp objects were locked and inaccessible to residents in care. Medication storage area was observed to be locked and inaccessible to residents in care.