Facility Evaluation Report

On 02/12/2024 at 09:04 AM, Licensing Program Analyst (LPA) Melody Brown conducted an unannounced visit to the facility to conduct the required comprehensive annual inspection to the facility. LPA Brown knocked on the door and pressed the door bell. LPA walked around the home and did not observe any persons inside the home. At 09:10 AM, LPA Brown contacted facility phone number, no answer, then contacted Licensee/Administrator Kimberly Upchurch and Licensee/Administrator Upchurch reported that staff transported the clients to their Day Program and indicated that Licensee/Administrator Upchurch will be arriving in the facility in an hour. Licensee/Administrator Upchurch added that staff will be contacted that LPA Brown's waiting at the facility. LPA Brown received a text message from Licensee/Administrator Upchurch that staff was contacted and informed that LPA Brown's at the home, also Licensee/Administrator Upchurch confirmed to LPA Brown that they will be arriving soon. Staff #2 (S2) arrived at the facility at 09:56 AM. LPA Brown explained the purpose of today's visit to S2.

The facility has 4 bedrooms, 3 bathrooms, kitchen, dining room, living room, attached garage, and backyard. The facility is vendorized by Inland Regional Center (IRC). LPA Brown completed a walkthrough of the facility, review of records, and medications audit.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL), LPA Brown observed no client during the visit. S2 reported to LPA Brown that all clients are out in the community. There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 75 degrees Fahrenheit. LPA Brown inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, chairs, and sufficient lighting. LPA Brown inspected client bathrooms; bathrooms were clean, and appliances were found functional. Water temperatures tested at 106 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide detectors, charged fire extinguisher, and first aid kit with first aid book.