Facility Evaluation Report

Licensing Program Analyst (LPA) Jenny Olson arrived unannounced to conduct a one year required annual inspection. LPA met with Administrators 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 facility has a sufficient supply of non-perishable and perishable food items. Cleaning supplies and disinfectants are stored and locked in a cabinet in the garage, inaccessible to clients. Knives are stored in a locked cabinet under the sink.

Common areas: Living and dining room furniture were observed to be in good condition. At 1:00 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 extinguishers were charged and serviced 12/4/2023.

The backyard has a covered outdoor area with shade equipped with furniture for client use. No bodies of water noted. The washer and dryer are in the garage.

Restrooms: The one client restrooms was clean and sanitary and in operating condition with non-skid mat. The bathroom was sufficiently stocked with soap and paper towels. Around 1:15 p.m., the hot water temperature measured in the client kitchen between 118.8-120.1 degrees Fahrenheit.

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, which stocked extra linens and towels.

Records: LPA reviewed client and staff records at 11:45 a.m. LPA reviewed four (4) client files for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, and needs and services plan. All files were complete. Continued on 809-C