Facility Evaluation Report

On 7/18/2023, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Inspection for this facility and was greeted by Licensee, Londa Quinn and Lead Staff Adriane Johnson. The facility currently provides care for 3 clients, 2 of which were attending day program and one of which present in the facility at the time of visit. LPA informed that the clients attending day program are provided transportation directly from the facility throughout the week to attend program.

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 1/9/2023. Smoke and carbon monoxide detectors were tested throughout the facility and found to be in working order. 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 toured the backyard and observed a storage shed that was found to be secure and emergency exit was unobstructed.

Water was tested at faucets accessible to clients and measured 109.8 degrees F which falls within Title 22 regulation. Sharps, cleaning supplies and other items that could pose harm if accessible to client in care were found to be secured in the kitchen areas and are inaccessible to clients with staff supervising in the common area. Medications are located in a designated cabinet located in the hallway with administering and prescription records in order. Upon review of medications, LPA found that facility properly administers and records medication on the Medication Administration Record (MAR). However, facility does not have current Centrally Stored Medication Record (CSMR) indicating new prescription orders and start dates.