Facility Evaluation Report

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced to conduct a Required 1 Year Inspection and met with Ralph Gause, Licensee. Current facility census is zero.

At 5:00 PM, the facility was toured. There are currently no residents in care. Potential resident rooms are currently being utilized. LPA observed items within the interior and exterior of the home that would need to be removed prior to the admission of clients. Water temperature measured 111.5 degrees which is within regulation. All medication and client/personnel records are to be stored in the locked hall closet. Cleaners, toxins, and items that can pose a danger will be stored in a locked cabinet in the garage. Licensee does not plan to handle client's cash resources.

Fire extinguisher was last charged December, 2020 and the facility continues to have fire inspections. The smoke detectors are operational. A first aid kit is kept on site. All exits are accessible and free of debris.

LPA received COVID mitigation plan during visit.

LPA requested the following documents during visit: LIC 308, LIC 610D, LIC 500, and admin certificate.

No deficiencies were cited during todays visit.