Facility Evaluation Report

Licensing Program Analysts (LPAs) Alviso and Contreras conducted a continued annual inspection, on 2/18/25 at approximately 12:15pm, and met with Administrator Debbie Miller. There are four clients in care.

Fire clearance approval is for four (4) ambulatory. Facility has an infection control plan as required. Facility has an emergency disaster plan as required. Fire extinguishers one (1), was serviced and tagged as required, dated 12/10/24. All exits were cleared and free of obstruction. Last emergency disaster drill was conducted on 11/9/2024. Administrator understands that the drills are held quarterly, ensuring one is an evacuation drill.

LPAs reviewed four (4) resident files, including medication records and storage of medications. P&I monies were intact and records were maintained as required.

LPA reviewed six (6) staff files. All staff had training, including first aid. All staff had criminal record clearance as required.

Hot water was checked at 112. degrees Fahrenheit. Facility was found to be at a comfortable temperature. Sufficient food supply. Sufficient hygiene products, cleaners/disinfectants, paper products, and furnishings for resident use. There was a sufficient supply of personal protective equipment (PPE).

Administrator to submit an updated lease agreement for the facility as the previous one has expired, per file review. Administrator has agreed to provide a new lease for the facility by 2/21/25.

LPA is requesting the following documents be updated and submitted by 3/18/2025:

LIC308 - Designation of Administrator Responsibility

LIC610E-Emergency Disaster Plan (ensure to review and update as needed/required)

Infection Control Plan (ensure to review and update as needed/required)

Copy of LIC400 Handling of Client Cash Resources (include copy of surety bond if handling cash)

Copy of current Administrator Certificate .

No deficiencies cited during today's inspection.

Exit interview conducted with Administrator Debbie Miller.