Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced at 11:05AM to conduct a required annual visit. The facility did not have any clients or staff on site upon arrival. LPA spoke with Director of Care Compliance Taylor Stead telephonically at 11:10AM. LPA met with Administrator and Clinical Director of Operations Katherine Bergerson “Kari Wood” at 11:22AM and explained the reason for the visit.

Beginning at 11:24AM, 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. LPA was only able to conduct a physical plant tour for today’s visit as the facility currently does not have admitted clients. The following was observed:

Fire extinguishers were fully charged and were last serviced 02/24/2025. Hardwired smoke and carbon monoxide detectors were tested at 11:47AM and all were functional at the time of the visit.

COMMON AREAS: This includes the group therapy room, kitchen, formal dining room, family room, nursing office, therapy office, and staff office in the converted garage. The common areas were appropriately furnished, and the lighting was adequate. The facility has a central entry point for symptom screening and sanitation station for staff, clients, and visitors. LPA observed fireplaces in common areas that are properly screened. Cleaning supplies and hygiene items are stored in a locked cabinet in the hallway. Facility had a sufficient supply of towels and linens. Emergency exiting plans/sketch were posted throughout the facility.

BEDROOMS : There are three (3) bedrooms designated for shared-client use. Each bedroom has two beds, night stands, chairs, and lights. Bedroom #1 has an adequately screened fireplace. Bedroom #2 has an exit to the exterior and is equipped with functioning auditory exit alarms. Report continued on LIC 809-C.