Facility Evaluation Report

At approximately 9:30AM Licensing Program Analyst (LPA) Stevenson arrived to conduct a Required - 1 Year Inspection. A phone call with licensee Roshawn Pearson was made who reports, Deajah Jefferson, who has designation of facility responsibility, was available during inspection. 1 of 4 clients was home, 2 of 4 were away at day programs, and 1 of 4 is in temporary inpatient rehabilitation.

At approximately 10:00AM LPA and caregiver Jefferson toured the facility. Facility has an infection control plan as required. Fire clearance approval is for four (5) ambulatory: licensee Pearson states that "although fire clearance is for 5 ambulatory clients, North Bay Regional Center has only cleared the home to have 4 clients" Licensee would like to convert downstairs staff office into a bedroom and was asked to submit a new facility sketch to Community Care Licensing with detailed use for each room and garage, along with a new Application for a Community Care Facility or Residential Care Facility for the Elderly License (LIC200) indicating the change of room use for the downstairs staff office.

Facility was found be clean and spacious. Facility was found to be cool with thermostat set at 66 degrees and technical advice given that home should be between 68 degrees and 85 degrees with clients in care. Facets available to clients were found to be within 105 to 120 degrees as required by title 22 regulations.

All exits were cleared and free of obstruction. Two Fire extinguishers were observed to be fully charged and last inspected March 2024. Combination smoke and carbon monoxide detectors throughout the home were found to be functional.

P&I monies were accounted for and not co-mingled

LPA reviewed four (4) resident files. Four (4) of (4) resident files observed to be missing TB testing results.

LPA reviewed five (5) staff files. All staff had required criminal record clearance. All staff had required training.