Facility Evaluation Report

On 01/22/25 at 10:10 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct an annual inspection, and explained the purpose of the visit with Administrator (ADM), Vernette Suggs.

LPA observed one (1) staff preparing lunch, and a client sitting outside. The facility has a COVID-19 mitigation plan in place and on file. LPA observed COVID-19 signage at the front entrance, hand sanitizer, masks, and visitor log. LPA requested a resident and staff roster, discussed staffing schedules, training, and inspected the facility inside and outside. LPA observed COVID-19 signs posted in common areas to promote hand washing, cough/sneeze etiquette and physical distancing. Clients have individual rooms/apartments. Pathways were observed to be free of obstruction and fire hazards. First Aid kit observed complete. LPA observed the facility room temperature at 68 degrees Fahrenheit. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. PPEs and paper supplies are adequate. Fire extinguisher appeared full and was last serviced on 06/18/2024. Smoke/carbon detectors are combined and observed operational. Sands bags, flashlights, interior exit lighting and signs are installed and available.

Five (5) resident files and four (4) staff files reviewed.

The following forms are to be updated and submitted to CCLD:01/29/2025.

-LIC500 Personnel Report/Roster (Reviewed)

-LIC308 Designation of Administrative Responsibility (To be updated)

-LIC610 Emergency Disaster Plan (Reviewed and to be updated)

-An updated copy of Administrator Certificate(s) (Reviewed)

Exit interview and a copy of this report provided Administrator, Vernette Suggs.