Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso arrived to conduct a Required -1 Year inspection, on 8/3/23 at approximately 9:30am, and met with Lead LPT Lucy Campbell. The Administrator Susan Webster arrived to the facility, and met with the LPA.

Facility has a required infection control plan. Facility has a required emergency disaster plan. Facility is fire cleared for four(4) non-ambulatory, of which four(4) may be bedridden. There are four(4) clients in care. One(1) of the four(4) clients attends day program.

The LPA toured the facility with the Administrator. All exits were clear, and unobstructed. Hot water was checked at 112.1 F., which is within regulation. All fire extinguishers, two(2), were serviced and tagged as required- expires 7/27/24. All smoke alarms, nine(9), which are also carbon monoxide detectors, were checked and working properly during the inspection. Perishable and non-perishable food was sufficient. Sufficient supply of hygiene products, paper products, and disinfectant cleaners. All medications were locked up, and inaccessible to clients in care. All disinfectants, and tools were locked up and inaccessible to clients in care. Facility was at a comfortable temperature. The facility was observed by the LPA to be clean and orderly. The facility had a sufficient supply of personal protective equipment(PPE). The facility had sufficient lighting throughout the home.

LPA reviewed the facility's compliance plan during today's inspection; Per review, facility is meeting requirements of the plan. The facility water(septic tank) was tested and found to have no bacteria, per report by Alpha Analytical Laboratories.