Facility Evaluation Report

On 8/29/23 at 10:18 am, Licensing Program Analyst (LPA) Chavez conducted an unannounced Annual/Required visit to the facility listed above. LPA met with Tammy Westwood, Administrator, and Aisa Coronel, Life Enrichment Day Program Coordinator, and explained the purpose of the visit.

LPA toured facility with the administrator and day program coordinator. The program is community based. The program site is clean, safe, sanitary and in good repair for the safety and well-being of clients, employees, and visitors. Facility is maintained in conformity with state fire marshal regulations. The smoke detectors and carbon monoxide detectors are hardwired. Between 12:06 pm and 12:15 pm, hot water temperatures in the client bathroom and kitchenette measured between 122.2 F and 122.8 F degrees. Deficiency cited. All toilets and hand washing facilities are maintained in a safe, sanitary, operating condition. Each client is accorded safe, healthful, and comfortable accommodations, furnishings and equipment to meet his/her needs. Snacks, beverages, and meals are provided to clients. Food is stored and prepared in a safe and healthful manner. At 11:40 am, LPA observed an unlocked drawer with knives in the unlocked kitchen. LPA observed an unlocked first aid kit in an unlocked cabinet in the kitchen. LPA observed an unlocked kitchen staff office with approximately five new knives in the unlocked desk drawer. Also, observed was an unlocked beauty parlor with toxic beauty supplies. Kitchen, staff office, and beauty parlor areas are accessible to clients. Deficiency cited. The kitchen stove and oven need cleaning so as to prevent a potential fire. Administrator agreed to have it cleaned, take photos, and end to LPA by 9/5/23. Facility has adequate emergency and first aid supplies. Fire extinguishers (3) are located in the large activity room near the kitchenette, in the kitchen, and in the hall near the laundry room. Extinguishers were fully charged and last inspected on 3/9/23. Facility temperature is 70 degrees.