Facility Evaluation Report

Licensing Program Analyst (LPA) Renee Campbell arrived at the facility to conduct an unannounced annual inspection on 01/15/2025. LPA Campbell met with Massi McNeal, House Manager and explained the purpose of the visit.

LPA Campbell inspected the physical plant including but not limited to the common area, kitchen, dining area, client bedrooms, client bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations . This facility is a single story building licensed to serve six (6) ambulatory residents. There are four bedrooms for the current 4 clients residing in the facility. They are not licensed to serve non-ambulatory residents. The fire exit was clear of obstacles. LPA Campbell observed the facility to be free of odor, clean and in good repair. LPA Campbell observed two (2) of the bedrooms and found them to be properly furnished with appropriate bedding and lighting. There are no bodies of water present .

LPA Campbell observed sufficient seven-day non-perishable and two-day perishable food supplies. Hot water temperature was measured at 116 degrees Fahrenheit (F) in the bathroom. Fire extinguishers, smoke alarm and carbon monoxide detectors are in good repair. The fire extinguisher was last inspected on May 2, 2024 and is full and the smoke alarm was tested and found to be functioning. Facility thermostat observed to be set at 73 degrees F. LPA Campbell checked medication storage and found medication to be locked away and inaccessible to clients. First aid kit was complete and contained scissors, tweezers and thermometer as well as a manual.

LPA Campbell requested client and staff files for review. Using all staff files found in the facility, LPA Campbell was able to verify that all staff were finger print cleared and associated to the facility. LPA Campbell reviewed 4 resident files and 4 staff files. Resident and staff files were found to be complete.