Facility Evaluation Report

Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – inspection for this facility and was greeted by Lead Staff, Clara Lindsay. House Manager, Judy Johnson and Administrator, Grace Toliver was also contacted and arrived later in the visit. The facility currently provides care for 3 clients all of which were present at the time of the inspection.

LPA arrived at the facility and had temperature checked and logged. LPA 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 4/7/2023 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 documentation including medical assessments updated and in place. LPA found that 2 out of 3 clients have Needs & Service Plans in need to updating. Technical Violation issued, Administrator agrees to submit updated forms to CCLD. LPA conducted a review of all staff files and found staff to have updated 1st Aid & CPR certification and Direct Support Professionals training on file.

Facility conducts and records emergency disaster drills. LPA requested for Administrator to conduct drill on a quarterly basis moving forward. A storage located in the backyard was found to be secured. Backyard area is found to be cleared of any debris and emergency exits were unobstructed. During the inspection LPA observed a container of powder bleach located in client (C1) bedroom under an unsecured bathroom sink. Items was immediately removed and placed in secured designated office area. LPA was informed that the bedroom is occupied by a client (C1) that is temporarily residing in a rehabilitation center but has not resided in the home for 2 years due to recovery. Clients do not use the private bathroom located in C1's bedroom and is not an immediate risk to current clients in care. Technical Violation issued.