Facility Evaluation Report

Licensing Program Analyst, LPA, Noel Wolf Petersen arrived to the facility to conduct an annual inspection, LPA met with administrator Melina Mediola to explain the purpose of the visit.

Physical inspection was completed, The physical inspection included but was not limited to the kitchen, common areas, bedrooms, bathrooms, exteriors, and evacuation route gates. First aid kit has required items, fire extinquishers are dated may 1, 2025. LPA asked the fire extinguishers to get replaced/recharged before the inspection was completed. The administrator opted to replace.

kitchen has adequate lockable storage for sharps/toxics/medications. 2 medications were checked against mars, one clients mar did not reflect a results section being filled out in at least 3 instances. LPA gave guidance for the administrator to document refusals using the same process as for PRN's minus the results category, and PRN results section to be filled out with a fifteen minute check on its effectiveness/not/hazzardous. Kitchen has adequate supply of food for 2 days perishable and 7 days nonperishable foods.

Common*Exterior + evacuation route gate: common areas are out of repair there are some holes in the facility, one into the hall (roughly computer printer paper sized), one thats in the living room space (roughly softball sized). The common areas have enough room for activites, exterior has some rusted tools/barbells and unsecured toxics(paint cans). There is a lockable shed to store these materials. One exterior opening gates to the alley swings freely and latches closed. The other gate drags into the ground and does not latch into anything.

Bedrooms*bathrooms: the bedrooms have required furniture and furnishings. The bathrooms have the delivered water temperature measured at the sink between 105-120*F. bathroom hardware is in good repair.