Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived at 9:11 am to conduct a 1-year annual visit to the facility above. LPA met with Back-up Administrator Teresa Becerra and explained the purpose of the visit. When LPA first arrived one resident was being assisted with a shower and another resident was sitting at the dining table doing a puzzle waiting for an upcoming dr appointment visit.

A tour of the inside and outside of the facility was conducted with the Administrator. The following was inspected and noted during the annual visit:

Physical Plant & Environment Safety : The facility has 4 client bedrooms and 1 client bathroom currently occupying 4 clients. The Licensee lives in the facility and has 1 bedroom, and 1 bathroom dedicated for use. The staff have a staffroom and bathroom upstairs on 2nd floor and it is not currently being occupied by any staff. The facility is clean, safe and sanitary. LPA was authorized to enter and inspect the facility. The facility has smoke and carbon monoxide detectors which were working at time of testing. The lighting and lamps are sufficient for the use of the facility and for the client’s comfort. The shower has non-skid mat. The toilet, hand washing and bathing facilities are operational and secure grab bars are present. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectants, cleaning solutions and poisons are inaccessible to clients in care locked in a closet off living room. The facility has sufficient space inside and outside for activities and visiting. The facility has a large yard and decks for client use with plenty of shade. The facility has telephone and internet service for client use. Continued 809-C