Routine inspection·April 25, 2024

On 04/25/2024 at 7:45 AM/PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Jacqueline Brown and explained the purpose of the visit. Clients away at day program. The facility’s fire clearance was approved for 6 Ambulatory. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 3 bedrooms are occupied by the clients and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 105 degrees Fahrenheit. All toilets, hand washing and bathing are safe, sanitary and in operating condition. The supply of extra hygienes were available for clients. There is a minimum of one week supply of non-perishables and 2-day perishables food supply. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 09/18/2023. Emergency Disaster plan (1 page) was last posted on 4/5/2023. LPA advised administrator to update plan and to include the 9 page LIC610E. First aid kit was observed to be complete. Fire drill and disaster drill was last conducted on 4/06/2024. At 8:15AM, 3 of 3 clients records were reviewed. At 8:45am, 1 staff records were reviewed and 1 of 1 have current first aid training and associated to the facility. P&I and Surety Bond were reviewed. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.