Facility Evaluation Report

Licensing Program Analysts (LPAs) Cuadra and Coppo arrived unannounced to conduct an Annual Required inspection and met with co-Administrator Robert Schweitzer. Staff Singa Danle arrived later. Licensee was not available to come to the facility , but was available by phone and gave authorization to staff to sign the report. Clients were attending to Day Program.

LPAs/staff initiated a tour of the facility and made the following observations: Facility was a comfortable temperature and pathways were free from obstructions. Client rooms are furnished per regulation. Water temperatures in client bathrooms read at 106.7 which is within regulation of 105 and 120 degrees F. At least two days of perishable and one week of non-perishable foods were available. Toxins are locked in a cabinet. Medications are centrally stored in locked cabinet and medication records were reviewed. Fire extinguishers were last inspected October 2022. Smoke detectors and carbon monoxide detector located throughout the facility were tested and operational. Most recent Fire/Disaster drill was conducted 6/30/23. Facility does have a current activity calendar and menu. Required postings were observed. First aid kit was fully stocked.

At approximate 9:30am LPAs/staff observed bathroom located upstairs between room #3 and 4 is under construction with unfinished sink, exposed ceiling, unstable partitions. Also, room #3 had laminate over carpet. Per staff, the repairs started late June, 2023. However, LPAs reviewed incident report logs for this facility, and it was determined that incident report were not submitted to CCL. There were no construction tools observed in the construction area.