Facility Evaluation Report

Licensing Program Analyst (LPA) Teresa Camara arrived at the facility unannounced to conduct a required annual visit at 8:48 a.m. This annual had a specific emphasis on infection control practices and procedures. This facility's perimeter is fully fenced and gated. LPA was at the front gate ringing the doorbell and then honking the car horn for approximately 10 minutes before the House Lead - staff 1 (S1) opened the gate so LPA could enter the premise. S1 explained that the doorbell on the gate sometimes does not work. S1 stated the administrator was already on her way to the facility as they had a staff call out. LPA explained the reason for this visit. The administrator arrived at 9:58 a.m. and LPA explained the reason for the visit.

The LPA, along with S1, toured the physical plant areas inside and outside at approximately 9:00 a.m. to ensure there were no health and safety hazards and the facility is in compliance with Title 22 Regulations.

BEDROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are 6 (six) total bedrooms for resident use – 4 (four) are private rooms on the permanent resident side of the house; the other two private rooms are located in a locked crisis area for temporary residents.

RESTROOMS: There are 3 (three) restrooms for resident use. All restrooms are clean and sanitary and in operating condition. LPA observed sufficient amounts of soap and paper products in each restroom, as well as hand washing posters. Water temperature averaged 118.2*F.

COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, common seating areas and dining room furniture was observed to be in good condition. LPA observed the required postings in the common hallway. Fire extinguishers were observed to be serviced within the last year. Smoke and carbon monoxide detectors were tested and functioned properly. The backyard has a covered outdoor area equipped with furniture for resident use. There is a pool surrounded by a tall fence with a locked gate.