Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit today. Upon arrival, there was one (1) staff. Three (3) residents were at day program at the time of the visit. LPA was greeted by facility staff who contacted the facility administrator via telephone. Administrator Kirstie Thompson arrived shortly after and the reason for the visit was explained. Entrance interview conducted.

During today’s visit, the LPA along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

KITCHEN: The LPA observed the kitchen to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of seven (7) days non-perishable and two (2) days perishable food; properly stored. Refrigerator and dry food pantry were checked for proper labels and expiration dates and food labels had expiration dates clearly marked. Knives and sharps were observed under the sink locked and inaccessible. The kitchen faucet was measured for water temperature, and it measured 107.4 degrees Fahrenheit.

BEDROOMS : There are four (4) total bedrooms in the facility for clients. LPA observed all client bedrooms to be properly furnished with a bed, nightstand, and sufficient lighting. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. There is a locked closet with client’s personal hygiene items and cleaning supplies.