Facility Evaluation Report

Licensing Program Analysts (LPAs) Valeria Conway and Kelly Dulek conducted an unannounced Annual Inspection at the facility today. LPAs arrived at 09:36AM and initially met with facility Program Director and Housing Manager. Entrance interview conducted. Shortly after the visit began, both Administrator Sharon Vollner and Director of Operations Wendy McCain arrived.

LPAs, along with facility Managers, toured the facility beginning at 09:44AM to ensure client health and safety and the facility is in compliance with Title 22 regulations. The following was observed:

Fire extinguishers observed throughout the facility were observed to be fully charged and last serviced 03/13/2023. Hardwired combination smoke and carbon monoxide detectors were tested at 11:40AM and were functional.

BEDROOMS: There are four (4) Bedrooms, three (3) of which are designated for shared client use. The fourth bedroom is located on the lower level and was previously designated as an isolation room, as needed for infection control purposes and is currently not being utilized. Two (2) shared bedrooms are located on the entry level and one (1) is located on the second story. All client bedrooms were observed to contain appropriate furniture, bedding and linens.

BATHROOMS: There are four (4) full bathrooms and one (1) half bath. Three (3) full baths are designated for client use and one (1) is designated as the isolation room bathroom. The half bath is designated for staff and guests. All bathrooms had functional fixtures and contained all required supplies. All bathrooms were supplied with appropriate paper and hygiene products. Water temperature was measured in all three (3) client restrooms and measured within the required range.

LAUNDRY: Laundry Room is located on the entry level. Laundry and cleaning supplies were observed to be inside a locked hall closet. Report Continued on LIC 809-C