Facility Evaluation Report

Licensing Program Analysts (LPA) Kesha Lewis arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA administrator and explained the purpose of the visit.

LPA and administrator inspected the physical plant including but not limited to the resident bathrooms, and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a day program with a current census of 12. There is entry door is leading to a common area, with a hallway to the bathrooms and eating area. Chemicals and noted to not be locked to residents in care the program has no medications. LPA also conducted the care tool.

Hot water temperature was measured at 120 F degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees Fahrenheit. LPA observed the following posted on the facility wall: Facility license, sketch, See Something Say Something poster, Ombudsman poster, Theft and Loss Policy, Resident Bill of Rights, Rights of Resident/Family Councils.

The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point.