Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an annual required inspection and met with Administrator Zina Lee. Annual fees are current. Contact information was reviewed.

LPA/staff toured the facility inside and outside and observed the following: the facility was clean and at a comfortable temperature with all exits free from obstruction. Client's rooms furnished per regulation. There was a supply of Linens, cleaners, hygiene products and paper products available. Bathrooms have grab bars and floor mats. However, toilet paper was observed stored in cabinet inside the bathroom. Per staff, they keep the toilet paper there due to client's behaviors. Water temperature in clients' bathroom measured at 110.7 degrees, which is within acceptable range of 105 to 120 degrees F. There was sufficient perishable and non-perishable foods located in the kitchen. Knives and other hazardous items were locked and inaccessible to clients in care. Medications are locked in the staff office where it is inaccessible to clients in care. Fire Extinguishers were found to be last charged on September 2024. All smoke detectors and carbon monoxide detectors were tested and found to be operational during the inspection. Cleaning products and other toxins are located in the locked laundry room and inaccessible to clients in care. Last disaster drill was conducted on August 2024. Medication and medication records were reviewed. Cash resources and their records were not reviewed, because the administrator did not have them in the facility. LPA will return to review cash resources at a different date. Food menu was not available (technical violation was issued).