Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted a required annual visit and inspection. LPA met with Program Director Ayana Churn. Entrance interview conducted.

Beginning at 01:02PM, the LPA, along with Administrator Jordan Ward toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

Fire extinguisher was observed to be fully charged and last serviced 11/16/2022. Carbon Monoxide detector was tested at 01:34PM and was functional at the time of the visit. Fire inspection conducted 06/21/2023 reflected no violations at that time.

MEDICATIONS: Medications for five (5) clients were observed beginning at 12:48PM. All medications reviewed were stored and documented per regulation.

BEDROOMS: There were 15 bedrooms designated for client use. Ten (10) client bedrooms were observed during today's visit. All bedrooms observed were furnished for single occupancy and were properly furnished, including adequate supplies of bedding and linen. No visible hazards were observed.

BATHROOMS: Each of the bedrooms observed included an individual half bathroom equipped with a sink and commode. All bathrooms observed were properly supplied with paper products and personal hygiene items and fixtures were observed to be functional at the time of the visit. There were four shower rooms, two at each end of the facility designated for client use. Water temperature was measured in various bathrooms and all tested within the required range of 105 to 120 degrees Fahrenheit.