Facility Evaluation Report

On 8/24/23 at 9:09 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and was granted entry by Administrator (ADM) Lorrie Conley.

LPA toured inside and outside of the facility. Outdoor activity area observed with seating and was shaded. Facility was set at a comfortable temperature. Fire extinguisher last serviced on 8/23/23. Smoke and carbon monoxide combo detector tested and operational. Hot water measured at 117 degrees F. Sick room observed designated to computer room/office area. Chemicals are stored in locked closet. A sample of staff and client records were reviewed. Hand sanitizer was readily available.

The following deficiencies were observed:

1. LPA observed the south side gate lever lock to pool area was broken and unable to lock; and dead bolt of same south side gate was not locked.

2. Right side fence panel of south side pool fence observed with missing screws in top left and bottom right sides, creating an unsecured fence panel; outlet in bathroom observed with a broken face plate exposing interior of wall; and latch of north side exit gate observed loose with exposed nails.

3. Garage door and access door from inside facility to garage observed opened/accessible and garage is where tools/lawn equipment/paint cans are stored; and two shovels and combo hand digger/hoe observed accessible in backyard.

The following updated documents are to be submitted to CCL within 2 weeks:

LIC308, LIC500, LIC9020, LIC610D (new revision)

An exit interview was conducted and Plans of Corrections were reviewed and developed with the Administrator. A copy of this report and appeal rights were discussed and left with Administrator, whose signature on this form confirms receipt of these documents.