Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived unannounced to conduct the required annual visit at 9:14 a.m. LPA met with Alexandria Neal, Clinical Director and Designee at approximately 9:35 a.m. and informed them of the reason for the visit. LPA toured the physical plant areas to ensure there are no health and safety hazards and that facility is following Title 22 Regulations.

KITCHEN: Knives are stored in a locked drawer in the kitchen. Kitchen appliances were in operable condition and noted to be clean. The facility has a sufficient supply of perishable and non-perishable food. Meals are pre-scheduled and menu for the day was noted. Items for the menu were observed in the refrigerator. An updated Client allergy list was printed during LPA visit, this document provides cooking staff of any food allergies.

Common areas: Common areas include a dining room, living room, and a computer area. Furniture observed to be in good condition. Smoke detectors and carbon monoxide detectors were tested, updated detectors are needed. The fire extinguisher was charged and serviced in 1/14/26. Dining room has a microwave, a toaster, and a coffee dispenser, for client use, outside of the locked kitchen. Clients are assigned chores and maintain client areas, staff oversee that areas are cleaned.

The facility has outdoor seating for client use with plenty of shade. No bodies of water are noted. Laundry room is locked and used for storage of washer and dryer, detergents and other miscellaneous items including hygiene products and additional clothing. Multiple thermostats were noted. Temperature was 68 – 69 degrees throughout the facility.

Restrooms: The three client restrooms were reviewed, restrooms were clean and in operating condition, a work order was placed during LPA visit for a replacement shower head due to green residue build up. The bathrooms were sufficiently stocked with soap and paper towels, and secured grab bars were present. Continued on 809-C