Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit today. Upon arrival, the LPA was greeted by staff. Staff called the Administrator via telephone and informed them of the visit. At approximately 10:20 a.m., Administrator, Fatuma Nassanga arrived at the facility and the reason for the visit was explained. Entrance interview conducted.

Starting at 10:25 a.m., 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:

Bedrooms: There are four (4) bedrooms for client use. All client bedrooms are designated as single / private occupancy. The LPA observed client bedrooms to be properly furnished with adequate furniture and sufficient lighting. Personal hygiene items were observed locked and inaccessible. Staff bedrooms observed on premises locked and inaccessible to clients at the time of the visit.

Bathrooms : There are three (3) full bathrooms and half a bathroom available for client use. Bathroom was observed to be equipped with nonskid surfaces and grab bars. The LPA observed bathrooms to be relatively clean with functional fixtures. Starting at 10:27 a.m., the hot water temperature was measured in client bathrooms, and they measured between 105 and 120 degrees Fahrenheit at the time of the visit.

Common Areas : The LPA observed the living room and dining room area to be furnished appropriately, and all furniture was observed to be in good condition at the time of the visit. The facility maintained a comfortable temperature. The LPA observed required postings by the main entrance. Activities for clients were observed in the living room.