Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria arrived at the facility unannounced to conduct a required annual comprehensive inspection visit. LPA was greeted and granted entrance by Staff, Annmarie Antonio. LPA introduced self and stated purpose of the visit.

The facility has 3 bedrooms (2 for clients and 1 for Staff), 2 bathrooms (1 for clients and 1 for Staff), a kitchen, dining area, living room, laundry room, attached garage, and backyard.

LPA completed a walk through of facility, medication audit, P&I audit and review of records.

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 72 degrees Fahrenheit temperature. LPA inspected clients bedrooms; they are equipped with furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. There is an adequate supply of linens and blankets stored in a closet in the main hallway of the residence. LPA inspected clients bathroom; bathroom was clean and appliances were operating appropriately. LPA tested the water temperature which tested 117 degrees Fahrenheit. The facility is equipped with operating fire extinguisher, smoke detectors and carbon monoxide alarms. Posters such as; the personal rights, CCL complaint poster, house rules and the emergency disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked. There was a designated locked storage space for client/staff files, first aid kit and medication. LPA observed that there is a functioning phone in the facility. There are no pools, bodies of water, firearms or ammunition. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care.

Food Service : Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a wide variety of food available. Dishes, cups, and utensils were also stored properly. Emergency food and water were also observed.