Facility Evaluation Report

03/20/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. Facility has an emergency disaster plan as required. Facility has an infection control plan as required. There are currently 4 clients in care.

At approximately 1:45 pm, LPA, Licensee and Administrator toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner being labeled and dated. Emergency food and water is stored in the Pantry and in the garage.

All rooms were furnished per regulation. All rooms were in good repair. Extra hygiene products and linens were available. Water temperature in sinks accessible to clients in care were measured at 115.5 and 110.1 degrees F within the range of 105 to 120 degrees F. Fire extinguishers were last inspected 05/2024. Facility has a sprinkler system and combination smoke/carbon monoxide detectors located throughout the facility that are serviced through an outside vendor. Toxins, sharps and other items that could pose threat if available to clients were located in the garage and in the kitchen and found to be secured. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record.

LPA conducted a review of 4 client records. All records had the required documentation. LPA conducted review of 4 staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file.

Most recent fire/disaster drill was conducted 03/15/2025. Client cash resources were reviewed.