Facility Evaluation Report

Licensing Program Analysts (LPA's) Tobola and Fowler conducted an unannounced Annual Required – inspection for this facility and was greeted by Lead Staff, Charles Lewis & Antonio Madden. Licensee, Alexis Patton was contacted and arrived later in the visit. The facility currently provides care for 4 clients all of which were present at the time of the inspection.

LPA's continued with a tour of the facility with Lead Staff; facility was found to be clean and at a comfortable temperature. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on 8/10/2022 at the time of the visit. Smoke and Carbon Monoxide detectors were 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 food containers labeled with appropriate dates. There was a supply of linens, hygiene products and paper products available for clients located in the hallway. All client’s bedrooms have lighting & appropriate furnishings with bedrooms well maintained and cleaned by staff. LPA conducted a file review for all clients and found 1 out of 4 clients (C1) physician's reports not on record. LPA conducted a review of all staff files and found staff to have updated 1st Aid & CPR certification and annual training on file. Upon review, LPA's found 1 out of 4 staff in need of an updated Health Screening Report. Technical Violation issued.

Facility conducts and records emergency disaster drills on a 6-month basis. LPA issued technical violation due to drills not on records. LPA requested for Administrator to conduct drill on a quarterly basis moving forward. Backyard area is found to be cleared of any debris and emergency exits were unobstructed. During the inspection LPA's observed several chemicals and cleaning supplies unsecured and accessible clients in care. Unsecured items including, bleach, paint, isopropyl alcohol located in the bathroom counter and unsecured cabinets in the garage, bathroom and kitchen sinks. In addition LPA's observed a bottle of allergy medication located in client (C1) bedroom. All items were immediately removed and placed in secured designated locked storage locations.