Facility Evaluation Report

On 9/20/2022, Licensing Program Analyst (LPA) D. Tobola conducted an unannounced Annual Required – 1 yr. Infection Control inspection for this facility and met with Administrator, Cecily Palma (CP).The facility currently provides care for 23 clients all of which were present the time of visit.

LPA arrived at the facility and had temperature checked and logged. LPA continued with a tour of the facility with Administrator; 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 Extinguishers were found throughout the facility and to be last charged on 11/17/2021 at the time of the visit. 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 facility laundry room and maintenance closets. There was a supply of hygiene products and paper products available and kept in client individual bedrooms. Facility provides all hygiene product to clients when requested. Facility has also requested for client restrooms to be equipped with paper towel dispensers/holders. All client bedrooms have lighting & appropriate furnishings. Medications and facility records are secured in the facility medication room with pin pad access. LPA measured water at faucets accessible to clients which measured between 115.3 and 118.7 degrees F which is within Title 22 regulations between 105 and 120 degrees F.