Facility Evaluation Report

On 6-16-23 at 10:05 am, Licensing Program Analysts ( LPAs) Michael Bilger and Arvin Villanueva arrived at this facility unannounced to conduct a quarterly health and safety check visit. LPA was greeted by Assistant Administrator Carrie Mumphrey, and LPA explained the purpose of the visit. Licensee William Puckett was notified of LPA's visit and purpose and stated he was on duty previous night shift.

LPA Bilger inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside backyard of the facility to ensure compliance with Title 22 regulations. Facility is a 5-bed adult residential facility with a current census of 4. Facility has 4 bedrooms and 3 bathrooms. There is a formal living room and family/TV room for residents. All knives, toxins, and other chemicals were inaccessible to residents in care. Resident rights posted. No obstructions to emergency exits noted.

The facility has submitted a COVID-19 mitigation plan. LPA observed the facility to have hand washing, COVID -19 informational, and social distancing signs posted throughout the facility. LPA observed facility to be clean and sanitary with no foul odors or disrepair items noted. There were 2 staff on duty during LPA's visit today. LPA reviewed 4 client records. All contents in place. Current behavior plans were observed in all records. LPA reviewed medication log book for consistency and accuracy.