Facility Evaluation Report

On 12/17/2024 at 12:20 p.m., Licensing Program Analysts (LPA) David Doidge arrived unannounced to conduct a annual inspection. Upon entry into the facility, the LPA informed Richard Felix, Direct Support Professional, of the purpose of the visit.

The LPA toured the facility inside and outside. The LPA inspected the kitchen, common areas, bedrooms, bathrooms, and the exterior of the facility. The facility was clean, appropriately furnished, and well lit. More than the 2 days of perishable and 7 days of nonperishable food supplies were available. No body of water was on the facility grounds. Medications are centrally stored. Bathrooms and showers were observed to be fully functioning and clean. The hot water temperature in the bathroom was105 degrees. The room temperature of the living room was 68 degrees. Carbon monoxide and smoke detectors were operational. The fire extinguisher was last purchased on 01/31/2024. Facility has Mitigation Plan, Emergency Disaster Plan, and maintains record of routine screening for residents, staff and visitors.

LPA review four (4) resident records and five (5) staff records. All were complete.

The LPA observed required postings in the facility, Complaint Poster, Ombudsman and Personal Rights posters, and the Theft and Loss Policy. An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations. Toxins and sharp objects were locked and inaccessible to participants.

Exit interview conducted and a copy of this report provided.