Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. Upon arrival, LPA met with staff and explained the reason for the visit. Administrator Kenneth Carpenter arrived shortly after.

Facility is a single-story residence that consists of four (4) client bedrooms and two (2) bathrooms. This facility doesn’t have a staff room, facility provides 24/7 care. The facility is vendored through Tri-Counties Regional Center as a level 4i home. The Facility does handle cash resources for all clients. Surety Bond is current.

At approx 09:40 a.m., LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The LPA inspected the kitchen/food service area. Kitchen appliances appeared clean and to be in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates. The knives and sharp objects were observed locked and inaccessible in a cabinet near the living room area. Medications, first aid and PPE were also observed stored in this cabinet . Facility has an adequate amount of emergency food and water. LPA observed a thirty (30) day supply of Personal Protection Equipment (PPE), emergency food and facility records stored inaccessible in other cabinets in this area as well.

LPA observed four (4) resident bedrooms , which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. The resident bathrooms were observed to be clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit.