Facility Evaluation Report

Licensing Program Analyst (LPA), Dina Alviso. LPA is conducting a Required - 1 Year visit, on 6/12/23, and met with Catherine Brenegan, Administrator. Brenegan's Administrator's certificate #6065221735, expires 8/27/2025.

LPA reviewed infection control regulations with the Administrator, and discussed signage posted up at the facility. The facility does have a required Infection Control Plan. Facility does have a Emergency Disaster Plan. The facility had an emergency fire drill on 3/16/23.

Facility has an approved fire clearance for four(4) ambulatory, and two(2) non-ambulatory clients; Room #4 is cleared for non-ambulatory use. There are currently six residents in care.

LPA reviewed six(6) client files. All files were found to contain necessary documentation.

There are five DSP on duty providing services to the clients. All staff have required criminal record clearance.

The LPA toured the facility with the Administrator. Hot water was checked at 108.F.

All exits were unobstructed. All four(4) fire extinguishers were serviced and tagged as required- expires 6/5/24. The facility had sufficient lighting in all client rooms, common areas and bathrooms. The facility had a sufficient supply of perishable and non-perishable food. The facility had a supply of food and water to meet the required supplies for a 72 hour shelter in place.