Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced Required 1 year inspection to Johnson Family Home, LLC and was welcomed by Co-Administrator, Judy Johnson. Administrator, Grace Toliver was available by phone at the time of the visit. The facility provides care for three clients. Licensee, Grace Toliver's Administrator Certification 6006091735 is valid through 8/15/2024.

LPA toured the facility with Judy Johnson, and found to be clean and at a comfortable temperature with all exits free from obstruction. Clients' bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on April 4, 2024. The Fire Department had made a recent inspection. Smoke detectors and carbon monoxide detector found to be functioning properly at the time of the visit. Hot water temperature measured 111 F which is within regulation between 105 and 120 degrees F. There was a ample supply of both perishable and nonperishable foods as required by Title 22 Regulations with proper labeling and storage. There was a supply of cleaners, hygiene products and paper products available for clients.

The bathroom designated for clients at the facility was supplied with individual paper towels; hand soap dispenser was also available. Client's bedrooms were found to be clean and have all appropriate furnishing. LPA reviewed staff files and confirmed that all staff have updated 1st Aid & CPR training on file.

Medication is found to be secured in locked closet located in the hallway. Clients are in charge of their own money and bank accounts are not commingled.

LPA requested the following documents be sent to CCL by COB 6/15/2024:

LIC 500 Personnel Summary, LIC 9020 Register of Facility Clients

No deficiencies cited during today's visit.