Facility Evaluation Report

Licensing Program Analyst (LPA) LaVette Farlow made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with staff, Maria L Virata and was granted entry to the facility. The facility is a (6) bedroom (3) bathroom home and with a kitchen/dining area, living room and attached garage. The facility is an Adult Residential Facility (ARF). Licensed capacity is (10) current census (9). LPA was accompanied by House Manager Malik Salem to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature at 73 degrees. LPA inspected client bedrooms; for required furniture such as: mattresses, night stands, storage space, chair and sufficient lighting. LPA observed that several room were missing the protected mattress cover, and all room were missing a chair. A deficiency issued. The bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The hot water was measured and tested within regulation at 115.8, 111.2, and 115.9 degrees Fahrenheit. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. LPA observed the kitchen refrigerator door with a pad lock on the door inaccessible to clients in care. Staff stated it was locked to secure the insulin medication. A deficiency issued. There was a designated office space for client/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care. First aid kit and book were observed.

Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly. LPA observed that facility had expired food in the kitchen and expired can goods in the emergency food supply. A deficiency issued.

Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week.