Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit and entered the facility at 10:24 a.m. Upon arrival, LPA met with Administrator Tammy Frame and explained the reason for the visit.

Beginning at 10:37 a.m., the LPA along with Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

BEDROOMS: The facility is a single-story residential home with six (6) private, single occupancy resident bedrooms. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting.

RESTROOMS: There are three (3) restrooms of which two (2) are designated for private resident use and one (1) is a shared, common use. Restrooms were clean and sanitary and in operating condition with grab bars and slip resistant surfaces. The restrooms were sufficiently stocked with liquid hand soap and paper towels; towels and washcloths are not shared. The hot water temperature was measured in all restrooms and measured within the required range.

LAUNDRY ROOM: LPA observed the locked laundry room with a washer and dryer. Cleaning supplies and detergents were observed locked and inaccessible at the time of the visit.

BACKYARD: The backyard has an area equipped with outdoor furniture including a table and chairs for resident use with appropriate shade. Facility has an in-ground pool, which was observed to be fenced with