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 Reba Jordan, Administrator, 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. The facility is equipped with smoke/operating carbon monoxide alarms, laundry equipment, and telephone service. The facility sufficient supply of bed linen, towels, and hygiene products for clients in care. Client bedrooms were equipped with beds, bed linen, nightstands, chairs, and sufficient lighting. Client bathrooms were operating in safe conditions. The hot water in client bathrooms tested at 110 degrees F and 111 degrees F. Sharps, disinfectants and cleaning supplies were store in a locked cabinet. The facility has posted: Community Care Licensing complaint contact information, emergency telephone numbers, client personal rights, evacuation sketch, activities, 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: Four (4) staff records were reviewed for health screenings, criminal record clearances, and first aid/CPR training certifications. Four (4) client records were reviewed for admission agreements, medical assessments, needs and service plans, and personal/incidental logs.

Technical Advisories were issued and no deficiencies were cited during today’s visit. An exit interview was conducted, where this report was discussed and a copy was provided to the Administrator at the conclusion of the visit.