Facility Evaluation Report

On 2/24/2023, Licensing Program Analyst (LPA) D. Tobola conducted an unannounced Annual Required – 1 yr. Infection Control inspection for this facility and met with Lead Staff, Bobbie Dearman. Administrator, Lisa Fernandes arrived later in the visit. The facility currently provides care for 2 clients both of which were attending day program or out in the community at the time of visit.

LPA continued with a tour of the facility with Lead Staff; 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 located on each floor were found to be last charged on 10/1/2022 at the time of the visit. Smoke detectors in client bedrooms and throughout were inspected 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 balanced meals and alternative options for clients. LPA conducted a sample file review and found all staff to have current CPR and 1st Aid certification on file.

Toxins are stored in a locked cabinets located in kitchen area. There was a supply of hygiene products and paper products available to clients upon request. Facility has restrooms equipped with paper towel and soap dispensers. All client bedrooms have lighting & appropriate furnishings. Medications and facility records are stored in designated cabinets located in the hallway and found to be secured. Water was measured and found to be within Title 22 regulations at 105.4 degrees. F.