Facility Evaluation Report

Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Infection Control inspection for this facility and was greeted by House Manager, Mario Gray (MG). The facility currently provides care for 5 clients, 4 of which were present and 1 of which out in the community at the time of visit.

LPA arrived at the facility and had temperature checked and logged. LPA continued with a tour of the facility with House Manager; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be expired and last charged on 4/23/2021 at the time of the visit. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins are stored in a locked cabinet in the facility kitchen and secured staff restroom. LPA tested all facility smoke alarms and found them to be in working condition. Medications are kept in a secured cabinet located in the kitchen. There was a supply of cleaners, hygiene products and paper products available for clients. All client’s bedrooms have lighting & appropriate furnishings. LPA found all facility staff requiring 1st Aid & CPR re-certification.

During the inspection LPA Tobola observed facility side yard gate to be detached to the fence. House Manager explained that the neighbor often locks themselves out of the house and has broken the fence several occasions to access their shared side yard. LPA issued Technical Violation and House Manager agrees to provide proof of corrections for the fence repair.