Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit on 3/10/2023 at 02:00 p.m. LPA was granted entry and met with Licensee Katherine Dowden, who was informed of the purpose of the visit.

The facility is a one story facility with (7) bedrooms and (5) bathrooms for clients between the ages of 18-59. LPA conducted a tour of the interior and exterior of the facility and observed the following:

Infection Control: The LPA observed the hand washing stations in the facility. LPA also observed gloves at the facility and sharps container for needles. The facility is currently screening and taking temperature for facility visitors. The LPA also observed the COVID binder with infection control training, cleaning plan, and up to date guidance on COVID-19.

Physical Plant: LPA observed the clients bedrooms which contained the required furniture and personal rights postings. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair. The facility outdoor area was observed to have a pool with a locked fence making it inaccessible to clients.

Food Service: LPA observed the kitchen to be clean and possess equipment in good working condition. LPA observed the facility had the required 2-day perishable and 7-day non-pershibale food supplies. The sharp and dangerous objects are kept locked in the kitchen cabinets under the sink and next to the sink.

Care & Supervision / Administration: Adequate staff are present for the supervision of residents. Emergency exiting plans, emergency telephone numbers and personal rights were found posted in the facility.

Record Review and Resident/Staff Files: LPA observed staff had current CPR/First Aid Certification. The (2) resident files were also found to be complete.