Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived unannounced to conduct a one year required annual. LPA spoke with Administrator Pamela Holcombe explained the purpose of the visit.

LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and to ensure the facility is in compliance with Title 22 Regulations. The facility is vendored by Tri-Counties Regional Center (TCRC).

Physical Plant & Environmental Safety: The facility is a 4 bedroom and 3-bathroom home currently occupying 4 residents, 1 resident is moving out today. The facility has dual smoke and carbon monoxide detectors which were working at time of visit. The pathways are clear of any obstructions. The facility has sufficient space inside and outside for activities and visiting. The facility has a backyard for client use with plenty of shade. Living and dining room furniture were observed to be in good condition. LPA observed required postings throughout the common space. No bodies of water noted. The washer and dryer are in a room near the kitchen. The door to the laundry room was locked. The separate storage unit in the back yard was locked. Disinfectants, cleaning solutions and poisons are locked in laundry room cupboards. Water temperatures were within regulation requirements. The facility has an open floor plan for easy movement for residents. LPA requested a routine schedule of cleaning be created and implemented to ensure common areas, windows, doors, walls, and floors remain disinfected for the health and comfort of clients, staff, and visitors.

Kitchen: The kitchen area was observed. Food is stored appropriately, items needing to be discarded were removed. The facility has a sufficient supply of non-perishable and perishable food items. Knives are stored in a locked cabinet in the staff area. An emergency supply of food and water was observed in closet area in the front room.

Restrooms: The two client restrooms were clean and sanitary and in operating condition with non-skid surfaces/mats. The bathrooms were sufficiently stocked with soap and paper towels.

Bedrooms: There are four (4) client rooms, which were furnished with appropriate linens and required furniture. A linen closet was located outside of the rooms and in the entry closet which stocked extra linens and towels. Continued on 809-C