Facility Evaluation Report

On 3/7/2025, Licensing Program Analyst (LPA), Janette Romero arrived unannounced to conduct a required annual inspection. LPA was greeted and granted entry by Administrator, Katherine Dowden who was informed of the purpose of the visit. The facility has a fire clearance for four (4) non-ambulatory clients of which one (1) may be bedridden. During the visit, there was one (1) client and three (3) caregivers present.

LPA toured the facility with Administrator Dowden. LPA observed the facility is made up of three (3) client bedrooms and two (2) client bathrooms along with a kitchen, dining room, living room, and attached garage. The facility has a gated in-ground pool located in the backyard that is secured with a digital keypad lock. Indoor and outdoor passageways are free of obstruction. Outdoor shaded seating is available for clients in care. LPA toured the kitchen and observed the facility has more than a two-day supply of perishable foods and seven-day supply of non-perishable foods. Disinfectants/cleaning solutions, medications, and sharps/knives are stored in different locked kitchen cabinets. Administrator tested one (1) of the smoke alarms and carbon monoxide detectors and LPA observed it to be operational. LPA also observed charged fire extinguishers mounted throughout the facility. LPA was informed the facility does not manage Client 1's (C1's) cash resources as C1's responsible person oversees C1's finances. LPA reviewed the Record of Client's/Resident's Safeguarded Cash Resources (LIC 405) for the remaining three (3) clients while Administrator Dowden reviewed their physical monies and no discrepancies were discovered. LPA toured the garage and observed an emergency supply of food and water along with a generator. Client files reviewed had updated Individual Program Plans and signed admission agreements. Staff present have a criminal record clearance and a valid first aid/CPR certification. LPA reviewed the facility's Emergency and Disaster Drill Record which noted their last fire drill was conducted on 2/21/2025. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Dowden.