Facility Evaluation Report

On November 14, 2024 at approximately 08:30 AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Oak Mesa Home for the purpose of conducting a Required 1 year inspection. Upon arrival, LPA was greeted at the door by, Direct Care Staff, Tavarius Simmons, and was granted access into the facility. Administrator arrived 30 minutes later. Clients were at their respective Day Programs.

LPA and the Administrator toured the facility. LPA observed the facility to be clean, safe and sanitary with all exits free from obstruction. Fire Extinguishers was last inspected on July 2024. All smoke detectors and carbon monoxide detectors were tested and found to be operational at the time of the inspection. Hot water temperature measured at 106 degrees in 3 of 3 clients bathrooms. Hot water temperature is within acceptable range of 105-120 degrees. LPA observed sufficient perishable and non-perishable foods located in the fridge. Food menu was observed and found to be appropriate during the inspection. There was ample space for personal hygiene products, bedding and linens, utensils, dishes, and cook ware. Client records, personnel records, medication were locked in separate cabinets, toxins are kept locked and inaccessible to clients in care. Facility has a first aid kit which was inspected and found to be appropriate during the inspection. There is an outdoor space for activities with a shaded area. During the Required 1 year inspection, LPA advised facility to contact County Public Health and Community Care Licensing immediately if symptoms of COVID-19 + or any infectious diseases in the facility. Emergency Disaster Plan was reviewed during the inspection. Emergency Disaster Drill was last conducted in July 2024. Infection Control Plan was reviewed and found to be appropriate.

During the Required 1 year inspection, LPAs reviewed 5 of 5 staff files and found those files to be appropriate during the inspection. 5 of 5 Professional Crisis Management (PCM) Cards were reviewed and found to be appropriate. LPA reviewed 5 of 5 client files and found those to be appropriate during the inspection. 5 of 5 client medication orders were reviewed and found to be appropriate during the inspection. (Report continued on LIC 809C)