Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson made an announced Pre-licensing Inspection. LPA met with Administrator who assisted with today’s inspection.

LPA met with the facility's Administrator. This facility will be licensed as a 6 bed ambulatory residential facility, LPA was also informed that this will be a Regional Center funded facility.

LPA toured and inspected the physical plant inside and outside to ensure there are no health and safety concerns. There are no residents at this time. The kitchen area, dining area, bedrooms, bathroom, storage areas, and laundry rooms are clean and in good repair. The knives/sharps area will be locked. There is the required furniture, and lighting throughout the facility. Food supplies of non-perishables for a minimum of one week and perishable foods for a minimum of two days will be maintained on the premises.

The first aid kit included supplies such as sterile first aid dressings, bandages or roller bandages, adhesive tape, scissors, tweezers, thermometers, antiseptic solution and guide. The centrally stored medication area will be locked at all times.

There are fire extinguisher(s), smoke and carbon monoxide detector(s) in the facility. LPA shared information for the recall of the combination detectors.

Exit interview conducted and copy of this report emailed and a copy of the report will be sent to the applications unit.