Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Licensee Russell Loewen. At the time of visit, all clients were attending to Day Program.

Upon arrival, LPA confirmed with Licensee that they are following current Covid19 and masks guidance. LPA initiated a tour of the facility and made the following observations: Facility was a comfortable temperature and pathways were free from obstructions. Client rooms are furnished per regulation. Water temperatures in client bathrooms read at 109.1 which are within regulation of 105 and 120 degrees F. At least two days of perishable and one week of non-perishable foods were available. Toxins are locked in a cabinet under the kitchen sink. Fire extinguishers were last inspected June 2022. Smoke detectors and carbon monoxide detector located throughout the facility were tested and operational. Most recent Fire/Disaster drill was conducted 2/27/23. Facility has a fire pull system and it was last inspected by Santa Rosa Fire Department on June 2022. Required postings were observed. Emergency supplies were observed including flashlights and water. Facility does have a current activity and menu calendar. First aid kit was fully stocked.

LPA initiated a file review at 1:30 pm. Three client and four staff files were reviewed. Clients records have updated care plans on file. First aid certificates for staff are current. Administrator Certificate for Vickie Loewen 6022472735, expires 8/30/2024. Medications and medication records were reviewed. Cash resources and documentation were reviewed. Medications are centrally stored and locked.

LPA obtained updates of the following documents: LIC308 Designation of Responsibility, LIC500 (Personnel Report), LIC400 (cash affidavit for clients), LIC610E Emergency Disaster Plan and surety bond.

No deficiencies cited during today's inspection. Exit interview conducted with Licensee and a copy of this report was given.