Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Required - 1 Year Annual inspection at the facility today. Administrator Akosua Arthur arrived shortly after the inspection began. The home is vendored by Tri-Counties Regional Center as a level II home.

At 1:44 p.m. the LPA toured the physical plant areas with the Administrator inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The following was noted: Facility is a double-story residence that consists of four (4) client bedrooms, one (1) staff room, and three (3) bathrooms. The LPA observed fire extinguishers at the facility, which were fully charged and last serviced 01/8/2024. All smoke alarms and carbon monoxide detectors were tested and functioned properly. LPA observed all required postings in the living room.

KITCHEN: Knives and cleaning supplies are stored in locked cabinets. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food.

BEDROOMS: The LPA observed four single client bedrooms and one staff bedroom. Client rooms were furnished appropriately with sufficient lighting. The LPA observed client room #1 without a window screen, and client room #3 without a window screen, and the glass window not properly installed . Upon observation the Administrator installed window screen in room #1.

RESTROOMS: There are two common restrooms for client use which were clean and sanitary and in operating condition with hand soap, paper towels, and toilet paper. At 01:58 p.m., water temperature in the client’s restroom was measured at 115.0 degrees Fahrenheit.

COMMON SPACES: These included the living rooms, and dining area. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. There is a fireplace in the second living room, which is covered with a glass screen. The facility maintained a comfortable temperature of 74 degrees. There were no obstructions and/or tripping hazards throughout the facility. Report will continue on LIC809-C.