Facility Evaluation Report

Licensing Program Analyst (LPA) Jason Lund arrived at the facility unannounced to conduct Annual/Required visit. LPA met Administrator Mary Amoah and explained the reason for the visit. Census: 6

LPA Lund & Administrator Mary Amoah toured/Inspected to ensure compliance with Title 22 regulations. There are 4 bedrooms and three bathrooms for the six clients living in the home. LPA observed the bedrooms to be properly furnished, with appropriate lighting. The bathroom was in sanitary condition and properly maintained. LPA checked the kitchen area for the ability to prepare and store food. LPA observed there are 2- day worth of perishable and 7- day of non-perishable food supply on hand. LPA observed toxins inside the home to be locked away and inaccessible to clients. Smoke detectors are operational and care home also has a carbon monoxide detector. Fire extinguishers and first aid kit are maintained and ready for emergency use. Medication storage and found medication to be locked away and inaccessible to clients. LPA reviewed two staff & two clients are in compliance.

No deficiencies were identified on this visit.

Exit interview held with Administrator Mary Amoah and report left.