Facility Evaluation Report

Licensing Program Analyst (LPA) Kathleen Banrasavong arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction and visit purpose. Upon arrival LPA learned that fifty-seven (57) clients were present that this facility during the inspection. There was twenty-one (21) staff members present. The Director of Programs North County Center, Gillian Hennessey conducted and completed the facility tour.

Client Records/Incident Reports/Clients Rights Information: LPA reviewed client records. Ten (10) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification.

Personnel Records/Training/ Staffing/ Administration : LPA reviewed employee records. Ten (10) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrative organization. Director of Programs North County Center, Gillian Hennessey completed and was up to date on her training hours.

Food Service: Food prep areas are clean and organized. Meals are not prepared at the facility. The residents’ provide their own lunches. There are two (2) refrigerators at the facility. One for staff and one for the clients.