Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Michael Lancaster, House Manager (HM). Catherine Brenegan, Administrator arrived later as well. Facility contact information was reviewed.

At approximately 10:00am LPA and HM toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Kitchen cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives locked.

All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Water temperature in sink accessible to residents in care measured at 113.5 and 112.6 degrees F which is within the allowable range of 105 to 120 degrees F.

Fire extinguishers were last inspected 5/10/24. Smoke/Carbon Monoxide detectors located throughout the facility were operational as indicated by the Santa Rosa Fire Equipment service tag dated July 2023. Facility’s last quarterly disaster drills were conducted on 12/12/2023. Facility has a backup generator for use during a power outage.

At approximately 10:30am LPA conducted a review of 6 resident records. All required documentation present.

At approximately 11:30am LPA conducted review of 5 staff records. All required documentation present.

At approximately 12:00pm LPA and HM conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies