Facility Evaluation Report

Licensing Program Analysts (LPA) Jenny Olson arrived unannounced to conduct a one year required annual inspection. LPA met with Assistant 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 facility has a sufficient supply of non-perishable and perishable food items. Cleaning supplies and disinfectants are stored in the garage, inaccessible to clients. Knives are stored in a locked cabinet in the kitchen. Around 2:00 p.m., the hot water temperature measured in the kitchen at 119.7 degrees Fahrenheit.

Common areas: Living and dining room furniture were observed to be in good condition. At 11:30 a.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 7/6/2023.

The backyard has a outdoor area equipped with furniture for client use. Administrator agreed to get an umbrella for shade. No bodies of water noted. The washer and dryer are in the laundry room next too the garage. The garage is not locked.

Restrooms: The three (3) client restrooms were clean and sanitary and in operating condition with non-skid 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, which stocked extra linens and towels.

Records: LPA reviewed client and staff records at 10:40 a.m. LPA reviewed five (5) 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