Facility Evaluation Report

On 8/01/23 at 11:09 am, Licensing Program Analyst (LPA) Chavez conducted an unannounced Annual/Required visit to the facility listed above. LPA met with Tammy Peterson, Crisis Services Manager (CSM), and explained the purpose of the visit.

LPA toured the facility with the CSM. There were no clients in the facility at the onset of the visit. CSM states they are at day program. Clients arrived at the facility at approximately 3:00 pm. Staff also arrived at this time. The facility is maintained in conformity with state fire marshal regulations. The smoke detector was tested and functioning properly. The facility does not have a carbon monoxide detector in the facility. Deficiency cited. Fire extinguishers (3) were located in the dining room, the end of the hallway near client bedrooms, and in the garage. Extinguishers were fully charged and last inspected on 6/6/23. There are no pools or bodies of water and no firearms or dangerous weapons stored. Between 11:38 am and 11:49 am, hot water temperatures were recorded in two resident bathrooms and the kitchen. Temperatures registered at 124 F, 138 F in the bathrooms and 132.6 F in kitchen. Deficiency cited. All toilets and hand washing facilities are maintained in a safe, sanitary, operating condition. The facility is clean, safe, sanitary and in good repair for the safety and well-being of clients, employees, and visitors. One exception is that the oven in the kitchen has food/grease spills on the bottom inside of the oven and the inside of the door. This can cause a grease fire which is a potential safety hazard. Technical violation issued. Each client is accorded safe, healthful, and comfortable accommodations, furnishings and equipment to meet his/her needs. There is a minimum 2-day supply of perishables and 7-day supply of nonperishable foods. Food is stored and prepared in a safe and healthful manner. Disinfectants, cleaning solutions and poisons are inaccessible to clients. The facility has adequate emergency supplies and first aid supplies. Facility temperature is 70 degrees F. Outdoor walkways are free from obstruction and the facility has outside covered patio areas for individuals to use. The gates on the south and north sides of the property are not closing properly. The gates do not catch the latch and are not self-closing. Licensee will fix the gates’ movement and auto-closing mechanisms, take videos, and send to LPA by 8/8/23.