Facility Evaluation Report

Licensing Program Analysts (LPAs) Deniz and Cuadra arrived unannounced to conduct an Annual Required Inspection and met with House Manager, Jhanell Edmalin. Facility has a total capacity for 4 residents and an approved fire clearance for 6 ambulatory residents. Annual fees are current. Required postings were observed. Licensee was not able to come to the facility, but was available by phone and LPAs informed the Licensee about deficiencies during the call.

LPAs/staff initiated a tour of the facility at 9:00 am and made the following observations: Facility was a comfortable temperature. LPAs/staff observed that the emergency exit pathway was blocked with rack full of clots and a large dinner table (Citation issued). During the facility walk through LPAs/staff observed in the resident shared room chair and table for the residents (Technical violation issued). Also, LPAs/staff observed garbage bins in the client’s bathroom did not have a cover or lid (technical violation issued). LPAs/staff observed the fence gap on the right side of the backyard needs to repair the small gap and debris all around the backyard needs to be cleaned and organized; House manager had staff removed the debris in the backyard. Toxins are located in a cabinet in the garage that was not locked during inspection and knives were found unlocked in the kitchen (Citation issued). During emergency supply check the facility did not have enough water for all residents for 72 hours (Technical violation issued).

Water temperatures in client bathrooms read at 111.2 and 112.7 which are within regulation of 105 and 120 degrees F. At least two days of perishable and one week of non-perishable food was available. Medication is centrally stored and locked in a cabinet in the kitchen. Fire extinguishers were last inspected on May 6, 2024. Smoke detectors located throughout the facility and the carbon monoxide detector were tested and operational during inspection. Continued on LIC809C...