Facility Evaluation Report

On 12/20/2024 at 11:25am, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an annual required inspection. LPA met with Mitzi Wardini, Program Director, and explained the reason for the visit.

LPA inspected the facility with Program Director, which included but not limited to the bathrooms, kitchen, common areas, and the outside area of the facility. LPA observed the facility to be free of odor, clean and in good repair. Outdoor space is provided and is free of hazards. There is a comfortable room temperature of 70 degrees Fahrenheit for clients in care. Grab bars were observed in bathrooms and throughout the facility. Clients bring their own lunches and snacks to facility. The hot water temperature in the shared bathroom measured 118.5 degrees. All observed toilets and hand washing stations are maintained in a safe, sanitary, operating condition. There are no bodies of water or fire safety hazards observed. Carbon monoxide and smoke detectors found to be in working order. Centrally stored medications, toxins and sharp objects were locked and inaccessible to clients. Fire extinguisher last services 11/9/2023. Fire drill last conducted 12/11/2024. First aid kit was checked and is complete.

LPA reviewed six (6) staff files and all are complete. LPA reviewed ten (10) clients. Most files do not have a current physician's report or Interpersonal Program Plan (IPP).