Facility Evaluation Report

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct Annual One Year Required visit and met Administrator Dinah Ferolino explained the reason for the visit. Census: 6

LPA Lund & Administrator Dinah Ferolino toured/Inspected to ensure compliance with Title 22 regulations. There are 4 bedrooms and three bathrooms for the five 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 two-days’ worth of perishable and seven days’ 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 Lund reviewed three staff files & three client files and were in compliance.

No deficiencies were identified on this visit. Exit interview held and copy of report given was left.