Facility Evaluation Report

On 5/3/24 Licensing Program Analyst (LPA) Javina George made an unannounced 1 year required visit to the facility. LPA was greeted and granted entry by Caregiver Diego Mora where LPA explained the purpose of the visit. One of the Administrator's Christopher Warner arrived shortly after. At the time of the visit there was (3) staff and (4) residents present. LPA observed for there to be two (2) staff to not have obtained proper fingerprint clearance and one (1) staff to not be associated to the facility. A citation will be issued, Staff #2 (S2) and Staff #3 (S3) staff were sent home and informed that they could not return to work until proper fingerprint clearance has been obtained. Per an interview with Christopher the facility is having a difficult time gaining access to the Guardian system, LPA reviewed an email that was sent dated 1/11/24 confirming what was reported. Below is what was observed during today's inspection:

The facility single story home with (5) bedrooms and (3) bathrooms with attached garage. In the garage half is used as a recreation room and the other is used for storage. The facility serves clients adults between the ages of 18-59. The facility has an approved mitigation plan on file that was submitted 6/10/21.

The facility was observed to be clean, clutter and odor free. The passage ways were observed to be free from obstruction. LPA observed the furniture throughout the facility to be in good repair. Laundry equipment was observed to be operable, as both the washer and dryer were in use during LPAs visit. The sharp and hazardous items such as medications were observed to be locked and inaccessible to residents and are stored in the locked cabinet inside the locked laundry room.

LPA conducted a review of resident medication, and the medications were observed to be given according to the physician instructions. The smoke and carbon monoxide detectors were tested and were observed to operable. The facility has one fully charged fire extinguisher that is hanging on the wall inside the kitchen just before the laundry room. There are no known guns or ammunition, on the premises. The are no pools or bodies of water on the premises. The emergency disaster drills are being conducted on a quarterly basis and the last drill conducted was on 2/4/24.