Facility Evaluation Report

Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection and was greeted by administrator (admin) Jacqueline Hicks. Facility has a fire clearance approved for 5 clients. There are currently 2 clients in care.

LPA and admin toured the building and grounds which was found to be at a clean and comfortable temperature. LPA observed all walkways and exits to be unobstructed inside facility. Facility has a delayed egress. All required postings were in a highly visible area. Clients have access to outdoor use including second activities garage/room. All bedrooms found in good repair. Sensory room observed for client use. All bedrooms were observed to have clean linens and required furniture. LPA observed at least a 2-day supply of perishable and 7- day supply of non-perishable food. Facility kitchen ,refrigerators and freezers were clean. Snacks accessible to clients. Toxins are stored in a locked closet and inaccessible to clients. Emergency food and water observed .Water temperatures in client accessible bathrooms read within the allowable range of 105 to 120 degrees F per Title 22 regulations. Fire extinguishers were charged and inspected on 6/2025. Carbon and fire alarms are hard wired through fire department with last inspection done on 9/24/2025 and 2/28/2025. Disaster Drills are recorded and conducted quarterly.

LPA conducted a file review for 2 out of 2 clients. All files found to be up to date.

File review for 2 staff was conducted. All files and training found to be up to date.

P&I monies for one client found safe and not commingled. Monies for second client handled through checks.

Medication spot check was conducted. Centrally stored medication log found to be up to date and secure.