Facility Evaluation Report

Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Benevolence Board and Care facility unannounced to conduct the Annual Inspection. LPA was greeted by staff member, Agung. LPA introduced self and stated purpose of the visit. LPA was granted entry, while staff contacted Administrator, Amanda Gonzales. LPA spoke with Administrator over the phone who agreed to meet with LPA. Administrator arrived later during the visit.

The facility has 5 bedrooms, 2 bathrooms, kitchen, dining area, living room, attached garage, and backyard. The facility maintains a partnership with Innovage Healthcare. LPA conducted a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating at the capacity approved by Community Care Licensing (CCL). Pathways were observed to be free of obstruction. The facility observed in comfortable temperature. LPA inspected resident bedrooms and found that each room included required furniture such as: mattresses, night stands, adequate storage and sufficient lighting. LPA inspected resident bathrooms; each bathroom was equipped with handrails, medical durable equipment and non-slip grip materials for safety purposes.

Bathrooms were observed to clean, appliances functional and included adequate amounts of hand hygiene and paper supplies. The facility is equipped with operational smoke detectors and carbon monoxide alarms. Administrator reports disaster drills are conducted on a regular basis. Last fire/disaster drill conducted August 2023. Fire Extinguisher observed in the facility Dining Room; last inspected October 2023. Cleaning supplies, toxins, sharps, and other dangerous items were observed secure inaccessible to residents in care. Medications were secure and inaccessible to residents. The facility also maintains a secure refrigerator for medications. Emergency and first aid kits were observed and readily available for residents in care.

Food Service : The facility maintains well stocked a pantry of dry good and non-perishable food items all in good standing. Inside the kitchen LPA observed dishes, cups, and utensils were observed in proper storage and in adequate amounts. Non-perishable and perishable food supply is sufficient for number of residents in care.