Facility Evaluation Report

On 5/23/2023, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Inspection for this facility and was greeted by Licensee, Barbara McKinley. The facility currently provides care for three clients, none of which were present at the time of visit and attending day program.

LPA arrived at the facility and had temperature checked and logged. LPA continued with a tour of the facility with Licensee; 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 5/20/2023 and was inspected and recharged during 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 stored properly as per regulations on this day at the time of the visit. 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 and individual program plans updated and in place. 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 fire and disaster drills every month for all staff and clients. A storage located in the backyard was found to be secured. New outdoor fencing has been installed with no signs of damages. LPA found that the screen sliding door leading to the backyard is in need of replacing due to damage from client behavior. In addition, LPA observed a wall plug cover to be loose and in need of repair or replacing. Technical Violation issued.