Facility Evaluation Report

06/06/2024 10:30 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with administrator Rachel Puleo-Chankin and explained the purpose of the visit.

LPA Knight and the administrator toured the facility together to ensure the health and safety of clients in care. Areas toured include but are not limited to sixteen (16) client rooms, common areas, two (2) bathrooms, kitchen, storage areas, office, and back yard. Staff and resident files were reviewed. All employees requiring background checks are cleared.

Bedding, linens, and towels for clients were observed and found to be clean and in good repair. Medication is locked in a cabinet.

The facility was observed to be at a comfortable temperature. All bedrooms had required furniture, bedding, and lighting. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged and inspected. Smoke detectors and fire alarm systems are inspected quarterly by Bay Alarm, they conducted the most recent quarterly inspection on May 30, 2024. There are no pools/bodies of water are on premises. Last disaster drill was conducted in March 2024 which was an earthquake drill, the facility conducts fire drill monthly.

A deficiency is being cited as a result of today’s inspection and is documented on the attached LIC9099-D. LPA observed the carpet in the common area TV room to be extremely soiled due to high traffic. LPA observed that exterior door in the downstairs common area is very difficult to open. LPA observed discarded microwave, and cardboard boxes in the atrium of the facility next to the kitchen.

Exit interview conducted and copy of report was provided to administrator Rachel Puleo-Chankin.