Facility Evaluation Report

On 11/22/2024 at 10:00am, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an annual required inspection. LPA met with Nikia Smith, Program Manager, and explained the reason for the visit. The facility's fire clearance was approved for 45 ambulatory and 30 non-ambulatory.

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 72 degrees Fahrenheit for clients in care. Grab bars mats 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 111.0 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 toxins and sharp objects were locked and inaccessible to clients. Emergency disaster drill last updated 10/15/2024. Fire extinguisher last services 4/11/2024. Fire drill last conducted 8/30/2024. First aid kit was checked and is complete.

LPA reviewed six (6) staff and six (6) client files all are current and complete.