Facility Evaluation Report

Licensing Program Analyst (LPA) Renee Campbell made an unannounced visit to this facility to conduct an annual inspection on 05/31/2024 at 11:00 AM. LPA Campbell met with Administrator Tyrone Penny and Direct Support Provider, Kimberly Davis and stated the purpose of today’s visit. LPA Campbell inspected the physical plant to ensure compliance with Title 22 regulations.

Upon entry to the facility, LPA Campbell was greeted by Direct Service Provider (DSP) Kimberly Davis. LPA Campbell entered and observed a resident being led to his bathroom by the DSP. The facility is a four bedroom, one story building with no body of water found. It is licensed to service mentally disabled adults between the ages of 18 and 59. There is a current census of 4 residents and five staff. LPA Campbell review three resident files and three staff files.

LPA Campbell toured the facility with DSP Davis, beginning with the kitchen. The refrigerator was observed to be at 37 degrees Fahrenheit and the freezer was measured at -1 degrees Fahrenheit. Items in both the fridge and refrigerator were observed with written dates for when items were opened.

When asked by LPA Campbell, DSP Davis displayed the locked sharps drawer in the kitchen and the locked resident medications in the cabinet with a first aid kit. The tour continued to a hallway off the kitchen where LPA Campbell observed a fire extinguisher that had last been inspected on 10/09/23. One residents bedroom was located in the hallway and it was locked because staff stated the resident was asleep. Cleaning products were observed locked away in a closet next to the laundry as well as under the kitchen sink.