Facility Evaluation Report

At approximately 11:50 AM, Licensing Program Analyst (LPA) Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by staff. Administrator Troy Skillman was contacted and arrived at approximately 12:10 PM, Designee Judy Johnson arrived shortly after. Facility is an Adult Residential Facility (ARF) with four (4) clients in care. LPA was informed that all clients were away at day program. Facility is serviced by vendor North Bay Regional Center (NBRC).

At approximately 12:15 PM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Facility's fire extinguisher was observed charged and last serviced 1/26. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperatures in client accessible bathrooms read at 106.6 degrees F which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, and paper products available for clients. Clients' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulation. Cabinets containing cleaning supplies and other items that could pose a risk were locked. Facility has at least two (2) days of perishable food and seven (7) days of non-perishable foods, as well as an emergency water supply. Facility has an internet access devise and internet available to clients in care, and the phone was tested and operational during today's inspection. There is an outdoor area with room for activities, facility has recently completed construction of a new fence and is in the process of refurnishing. Administrator Troy Skillman left during tour to assist a client, Judy Johnson was designated to continue visit as well as to sign and receive report.