Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with staff Patty Kennemer. Clients were attending to day program during the visit.

LPA initiated a tour of the facility at 1:10 pm and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Client rooms were furnished per regulation. Water temperature in client's bathroom measured at 114.4 degrees F which is within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Cleaning supplies were locked in a bathroom closet and under the kitchen sink. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked in a hallway closet along with client cash resources. Cash resources and their records were reviewed. Medications and medication records were reviewed. Smoke detectors were tested and operational. At approximate 1:30pm LPA/Staff observed fire extinguisher was last inspected February, 2023. Most recent disaster drill was conducted 11/28/2023.

File review was initiated at 2:00 pm. Three staff files and three client files were reviewed. Staff have required First Aid certificates and training hours required. Administrator Certificate for Licensee, Ken Kennemer, 6015398735, expires on 5/14/2024. Contact information was reviewed.

Licensee will provide copies of the following documents by 4/19/24: LIC 610 Emergency Disaster Plan (if there are any changes), LIC 500 Personnel Summary and surety bond.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.

Exit interview conducted with staff and a copy of this report was given.