Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Smith at the facility unannounced for a post-licensing inspection. The LPA met with Program Director Stephen Canfield and explained the reason for the visit.

At 1:30 p.m., the LPA toured the three-story facility inside and outside to ensure there were no health and safety hazards and facility is in compliance with Title 22 Regulations.

COMMON AREA: The common areas on all three floors were appropriately furnished, and the lighting was adequate. There was a fireplace on the first floor and on the outside patio, which both were properly screened. There are fully charged fire extinguishers on each floor.

BEDROOMS : There are four (4) bedrooms for client use. There are two rooms for double occupancy and two rooms designated for single occupancy. All rooms were furnished appropriately with beds, night-stands, lamps, chests of drawers, chairs and closet space. Lighting in the rooms was adequate.

BATHROOMS : There were hand-washing signs observed in all bathrooms that promoted good hand hygiene. The client tubs and showers are equipped with nonskid surfaces. The LPA measured the hot water throughout the facility, and the water registered within the appropriate range.

KITCHEN : Kitchen knives and cleaning supplies are stored locked and inaccessible. Kitchen appliances were clean, and all appeared functional. The facility has a sufficient supply of perishable and non-perishable food.

MEDICATIONS : Medications are kept locked and inaccessible in the nursing office. The LPA conducted a medication audit and no deficiencies were observed during the audit.