Facility Evaluation Report

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Licensee Parla Novak.

The facility is currently licensed for a maximum capacity of six (6) clients, of which all must be ambulatory. During today’s inspection, there were a total of five (5) clients in care.

LPA, accompanied by staff, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Client bedrooms contained the required furnishings. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. Hot water temperature was compliant.

There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas.

No pools or bodies of water were observed on the premises. Per staff no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone, first aid kit and fire extinguisher(s) were present. Required licensing postings were observed in visible areas of the facility.

LPA interviewed staff/clients and reviewed staff and client records/files. The files which LPA reviewed contained required documents. LPA interviews did not raise any licensing concerns.

No deficiencies were observed or cited during today's annual inspection.

An exit interview was conducted with licensee, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.