Facility Evaluation Report

On 02/16/2024 at 9:30 AM, Licensing Program Analyst (LPA) Lori Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Vernette Suggs and explained the purpose of the visit. The facility’s fire clearance was approved for capacity of 18 (eighteen) all ambulatory residents. Administrator certificate #6014828735 expired 10/12/2023.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 13 total bedrooms which 13 bedrooms are occupied by the clients. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 68 degree 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 122.5 and 115.1 degree 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 04/06/2023. Emergency Disaster Drill was last posted on 04/30/2022. First aid kit was observed to be complete. Fire drill was not complete.

At 10:15 AM 5 of 17 clients records were reviewed. At 11:30 AM, 3 staff records were reviewed and 3 of 3 have current first aid training and associated to the facility.