Facility Evaluation Report

On 6/12/2024 Licensing Program Analyst LPA) Tobola conducted a pre-licensing inspection and was greeted by Licensee Applicant, Emily Barsabal. This pre-licensing inspection is being conducted for an initial licensing. Fire Clearance has been approved for 4 ambulatory clients. Licensee Applicant is currently in partnership with North Bay Regional Center and in the process of starting vendorizing for client placement upon issue of license.

LPA conducted a tour and inspection of the indoor and outdoor portions of the facility. Facility was found to be clean and comfortable temperature with bedroom doors free from obstruction. LPA observed a fire extinguisher located in the kitchen and was found to be recently purchased. Smoke detectors and carbon monoxide detectors located in each common space and client bedrooms were interconnected, tested and and found to be in working order. Windows and blinds are all found to be in good repair with facility free of insects or pests. Emergency evacuation maps and clear exit signs are posted appropriately. Infection control plan has been updated and protocol infection prevention information are within facility operation binder. Emergency exits along the one side of the facility have appropriate hardware and found to be unobstructed. Water was measured at 118.1 degrees F in faucets used by clients which falls within regulation between 105 & 120 degrees F.

There was an ample supply of extra linens with appropriate bedding equipped in client rooms. An additional supply of hygiene, continence and paper products are located in a cabinet in client bathroom. LPA requested for hallway to be equipped with appropriate night lights for accessibility. Client bedrooms were inspected have appropriate furnishing and found to be in a clean and comfortable condition. There is a sufficient amount of dishes and cooking supplies for client use with sharps and other hazardous items kept secured in various designated drawer and cabinets. Cleaning products and other toxins and chemicals are kept out of client access and found secured under the kitchen sink. LPA observed adequate supply of both perishable and non-perishable food sufficient for the 4 clients in care. The facility will be conducting frequent grocery replenishment with consideration to client preferences and dietary restrictions. A sample menu has been completed and will be posted in the kitchen area to indicate a healthy and balance set of meals for clients in care. Continued onto LIC809-C