Facility Evaluation Report

Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced required annual visit. At 10:20 a.m., the LPA was greeted and screened by staff. At 10:28 a.m., the Administrator, Benjamin G. Abutin Jr arrived at the facility. This annual had a specific emphasis on infection control practices and procedures. When the LPA arrived there were two staff and three clients present. This home is vendored by Tri-Counties Regional Center as a level four I.

At 10:41 a.m., the LPA, along with Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations.

KITCHEN: The LPA observed the kitchen/dining area. Knives are stored in a locked kitchen drawer. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 10:57 a.m., hot water measured at 108.3-degree Fahrenheit.

COMMON SPACES: All indoor and outdoor passages were free of obstruction. At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPA observed the fire extinguisher to be fully charged and last serviced on 07/18/2022. Signs are posted throughout facility to promote handwashing, and cough/sneeze etiquette. At 10:47 a.m., fire alarms and carbon monoxide detectors were tested and functioning properly. Medications are centrally stored and in a locked cabinet in the dining room.

BEDROOMS: There are four client bedrooms. The LPA observed the client bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting.

RESTROOMS: Restrooms were observed to be clean and sanitary with hand soap, toilet paper and paper towels. At 10:48 a.m., the hot water temperature tested at 108.6-degree Fahrenheit. Continued on LIC809-C.