Facility Evaluation Report

On 8/31/2023, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Inspection for this facility and was greeted by Lead Staff, Joanna Hall. The facility currently provides care for 2 clients, all of which were attending day program at the time of visit. LPA continued with a tour of the facility with staff. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on 1/9/2023. Smoke and carbon monoxide detectors were found throughout the facility, tested and found to be in working order. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations with additional food stored in the garage. Food stored in the kitchen refrigerator were stored properly as per regulations on this day at the time of the visit. LPA observed several canned good items that were past expiration date in 2022. LPA requested facility to review dry food supply and remove any items that are past expiration dates. There was a supply of linens, hygiene products and paper products available for clients located in the hallway.

Upon inspection of client bedrooms LPA observed client (C1) to have a live bedbug on C1's bedroom wall. LPA also observed dead bedbug shells under C1's bed. The facility had recently contracted with pest control to resolve the infestation however, signs of live bedbugs were observed during inspection. LPA also observed a second live bedbug on the wall panelling between clients' (C1 & C2) bedrooms (photos taken). LPA continued to complete the report from outside of the facility due to bedbug concerns. LPA requested for Lead staff to provide proof of 1st aid & CPR training. Upon review LPA found 1 out of 2 staff without current CPR & 1st Aid certification completed.

Due to unexpected circumstances within the facility and potential safety risk to LPA; physical tour of the facility was completed but will require an annual continuation for full medication, P&I and facility, staff and client file review.