Facility Evaluation Report

Licensing Program Analysts (LPAs) Magda Malcore and Becky Mann made an unannounced visit to the facility to conduct a required annual inspection. LPAs met with Direct Support Staff II (DSP) Ricquan Jones, granted entry into the facility, and discussed the purpose of the visit. The facility is an Adult Residential facility with a license capacity of (4) and a current census (4). The facility is a certified Inland Regional Center (IRC) vendor. LPAs conducted an overall inspection, which included, but was not limited to, the following:

Operation/Physical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility has sufficient indoor and outdoor activity space for clients in care. Outdoor activity space is shaded and enclosed with a latching gate. The facility is equipped with smoke & carbon monoxide alarms, two (2) charged fire extinguishers, laundry equipment, and telephone service. The facility has a sufficient supply of bed linen, towels, and hygiene products for clients in care. Four (4) client bedrooms were equipped with beds, bed linen, nightstands, chairs, and lighting. Client bathrooms were operating in safe conditions. The hot water in client bathrooms tested at 107 and 105.2 degrees F. Sharps, disinfectants and cleaning supplies were stored in a locked cabinet. The facility has 24 hour/7 days a week care staff. The facility has posted: Community Care Licensing complaint contact information, emergency telephone numbers, client personal rights, evacuation sketch, weekly menu and facility license.

Food Service: The facility’s dining and kitchen areas were maintained clean. The facility has sufficient non-perishable and perishable food for number of clients in care.

Health Related Services: The facility maintains records of client medications and medications are centrally stored in a locked cabinet.

Personnel/Client Records: Staff files were not available for LPAs to review. LPA's spoke with Administrator Lawanna by telephone who stated that staff files are kept locked and current staff do not have access to them. Four (4) client records were reviewed for admission agreements, medical assessments, needs and service plans. Client P&I funds and ledgers were not available for LPAs to review. The Administrator stated that client P&I records were kept locked and current staff do not have access to them.