Facility Evaluation Report

Licensing Program Analyst (LPA) E. Conchas made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Irene Capili, Administrator, and discussed the purpose of the visit.

The facility is an Adult Residential Facility (ARF), license capacity of (41) with a current census of (38).

LPA conducted an overall inspection of the facility. LPA observed Indoor and outdoor passageways are free of obstruction. The facility has no bodies of water accessible to clients in care. The facility is maintained at a comfortable temperature between 70-75 degrees and the clients bathrooms were inspected at random with the water temperature measuring above 130 degrees F. A technical was issued. Administrator posted a Caution Hot sign.

LPA observed the residents rooms. LPA observed room 211 to have a ceiling in need of repair. A technical was issued. There was sufficient lighting and furniture in good repair throughout the facility. Facility has operating carbon monoxide alarms and telephone service. The facility has sufficient linen. The facility did not have sufficient furniture , a technical was issued. LPA did not observe mattress pads on clients mattresses, a technical was issued. Insufficient space was observed for each client to have personal belongings. A technical was issued.

The facility has posted in a common area, Community Care Licensing complaint poster, facility license, facility sketch, disaster evacuation plan and emergency telephone numbers. Emergency/ Disaster plan was posted but not updated, a technical as issued. Surety bond was not observed current, a technical was issued.

Facility has sufficient non-perishable and perishable food supply for clients in care. Pesticides and other cleaning solutions were kept locked and stored away from food areas. Emergency food supply was observed. Administrator will be purchasing a third container to account for the current census.

Facility has 24-hour, 7 days a week care staff. Staff working have criminal record clearances or exemptions through the Department.