At 08:55 AM LPA Alemoh conducted a physical plant tour to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

The facility temp measured at 74 degrees. The facility is a single-story home consisting of a living room, dining room, kitchen, 3 client bedrooms, 1 staff bedroom, and two restrooms. This facility is licensed to serve 6 adults ages 18 – 59 years. A total of 3 clients are currently residing in this facility, 3 out of 3 clients are ambulatory. A total of 2 (two) staff and 1 (one) client were present during this inspection.

Outside grounds were toured and no bodies of water were observed. Patio furniture under a shaded area was accessible to clients. Facility has pad locked shed in the backroom stocked with PPE’s. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises.

3 out of 3 client’s bedrooms were checked. Mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked.

Bathroom toilets and water faucets worked properly. Adequate lighting and toiletries accessible to clients. LPA Alemoh tested hot water temperature in the hallway client restroom, and it measured between 112 and 113.5-degrees Fahrenheit. This facility provides clients with residents with hygiene products such as feminine napkins, nonmedicated soap, toilet paper, toothbrushes, toothpaste, and comb. All bathrooms have hand washing signage. All facility trashcans have lids.

LPA observed that medications were safe, locked and inaccessible. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. All medications and are stored in a top cabinet near the kitchen.

Common areas were clean and appropriately furnished. These included the living room and dining area.

At 09:42 AM LPA Alemoh conducted a file review of resident and staff records to ensure compliance with Licensing.

Documents are posted as mandated near staff office. Last Disaster drill was conducted on December 26^th, 2023. The first aid kit is fully stocked with manual. Smoke and carbon monoxide detectors are hardwired and in compliance and operational. One (1) Fire Extinguisher were observed throughout the facility purchase date April 23^rd, 2023.

Five (5) staff records were reviewed, 5 out of 5 staff records had current first aid certificates and had required criminal record clearances or criminal record exemptions. Three (3) client records were reviewed and, 3 out of 3 client records had Admission Agreements, Medical Assessments, Pre-appraisals (or Reappraisals) and/or Needs & Services Plans. LPA Alemoh reviewed P&I money, 3 out of 3 residents P&I were intact and were not commingled with facility funds or petty cash. All client/resident and staff files are locked in small rolling cabinet in the dining room inaccessible to residents.

No deficiencies cited.

An exit interview was conducted. A copy of this report and appeal rights were discussed and left with Asst. Administrator Nusifa Bahingire.