Facility Evaluation Report

Licensing Program Analyst (LPA) Jacqueline Shaw Ross arrived at the facility unannounced to conduct an annual inspection. LPA was greeted by Rommel Abedoza, Lead Caregiver and the purpose of the visit was explained. Present at the facility were two (2) staff members and five (5) clients. LPA conducted staff and client interviews. The facility is a one story five (5) bedroom, four (4) bathroom home. There is one bedroom shared by two (2) clients. A tour of the facility was conducted inside and out. The smoke alarm system was tested and found operable. Hot water temperature was tested at 118.9 degrees Fahrenheit.

LPA reviewed staff and client records. Review of staff records indicate all staff have criminal record clearances and are appropriately associated to the facility. Staff files had the required documentation including First Aid Certifications and training documents that included recent training. Review of the facility training binder showed the following refresher training completed include: Alzheimer's, Emergency Disaster, Postural Supports, Restricted Conditions, Hospice, Reporting Abuse, Food Handling, Dementia, Fall Prevention and Medication training. Review of client files revealed all client records are current and up to date. LPA inspected medications and medications appear to be dispensed appropriately according to physician's orders. The outdoor space is free of hazard. Emergency drills are conducted quarterly. Fire extinguishers are fully charged.

During the inspection, no deficiencies were observed. An exit interview was conducted and a copy of the report and LIC 811 was provided to facility staff.