Facility Evaluation Report

Licensing Program Analyst (LPAs) Tiffany Holmes and Janet Ngallo conducted an unannounced Required Annual Inspection. LPAs were greeted and allowed entry into the facility by house manager, Ronald Locke and Phuc Huynh. to whom LPAs dscussed the purpose of the visit. According to the facility’s license, the facility has a maximum capacity of twenty two (22) Mentally Disabled Adults, ages 18-59. All of whom are ambulatory.

LPAs, accompanied by Care Giver Phuc Huynh, toured the interior and exterior of the facility, and inspected each room. The facility was unclean in most areas and in adequate repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the most required furnishings and unclean. Most client bedrooms were missing mattress pads. Doors, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was compliant. The hot water temperature was measured at 131 F.

There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Upon LPAs observation, expired condiments and pantry food was expired. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to clients.

No pools or bodies of water on the premises. Per House Manger Locke, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Not all fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible.