Facility Evaluation Report

Licensing Program Analyst (LPA) Emily Peraldi arrived unannounced to conduct a 1-year inspection at the facility today at 12:06 p.m. The LPA met with staff and explained the reason for the visit. At 12:15 p.m., the Administrator Barbara Browning arrived at the facility.

RECORD REVIEW: Between 12:23 p.m. and 12:57 p.m., the LPA conducted a file review for all six (6) clients and two (2) staff and observed the following: Staff have current first aid. Client records were reviewed for, but not limited to medical records, admissions agreement, and consent forms. All files were in order. The last drills (fire, earthquake and flood) took place on 03/03/2025. Administrator’s Certificate is valid until 03/08/2026.

Starting at 1:00 p.m., the LPA conducted a review of medication and medication documentation with the Administrator for three (3) clients and observed that medications were properly documented and assisted as prescribed. Medications are locked and centrally stored in a cabinet in the living room.

Starting at 1:05 p.m., the LPA, along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards.

KITCHEN: The LPA observed the kitchen and dining area. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Hot water temperature measured within required range. Kitchen knives are stored in the locked pantry. Continued on LIC 809-C.