Facility Evaluation Report

Licensing Program Analysts (LPA) Jenny Olson arrived unannounced to conduct a one year required annual vist. LPA met with Administrator and explained the reason for the visit.

LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

Kitchen: The kitchen area was observed around 12 p.m. The facility has a sufficient supply of non-perishable and perishable food items. Cleaning supplies and disinfectants are stored in the garage and under the sink, inaccessible to clients. Knives are stored in a locked cabinet in the kitchen.

Common areas: Living and dining room furniture were observed to be in good condition. There is a fireplace in the living room, which is screened and inaccessible. At 12:15 p.m., smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. LPA observed required postings throughout the common space. The fire extinguisher was charged and serviced 1/12/2023.

The backyard has an outdoor area equipped with furniture for client use. There is no shade. No bodies of water noted. The washer and dryer are in the garage and in working condition.

Restrooms: The two (2) client restrooms were clean and sanitary and in operating condition. The bathrooms were sufficiently stocked with soap and paper towels. Around 2:30 p.m., the hot water temperature measured at 115.1 degrees Fahrenheit.

Bedrooms: There are three (3) client rooms, which were furnished with appropriate linens and required furniture. A linen closet was located outside of the rooms, which stocked extra linens and towels.

Records: LPA reviewed client and staff records around 10:10 a.m. LPA reviewed three (3) client files for, but not limited to, the following: signed admission agreements, Continued on 809-C