Facility Evaluation Report

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct an Annual/Required visit. LPA Lund and met with care staff and later with Administrator Mary Amoah and explained the reason for the visit. Administrator Certification for Mary Amoah #6030851735 expires 6/9/22. Current Census: 4

LPA Lund and Administrator Mary Amoah toured/inspected the facility to ensure compliance with Title 22 regulations. LPA observed four 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.

No deficiencies were identified on this visit.

Exit interview held with Administrator Mary Amoah and copy of report left.