Facility Evaluation Report

On 05/28/24 around 02:45 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required Annual Inspection. LPA was greeted by one (1) Care Staff who telephoned Pia Webster, Administrator (ADM) who arrived about ten (10) minutes later. LPA explained the purpose of the visit to ADM. The Standard Certificate (#6012644735) expired 02/25/24 and is waiting completion of the renewal.

Upon arrival three (3) of the clients were lounging in the facility and one (1) was at their respective program. LPA reviewed the resident files, staff files and Emergency Disaster Plan (EDP). LPA observed COVID-19 signs and protocol. LPA and ADM toured the facility, including but not limited to bedrooms, bathroom, kitchen, garage, common area, front yard and backyard. The facility consists of four (4) total bedrooms. All indoor passageways were free of obstruction. There was not any bodies of water. A comfortable temperature for the clients was maintained; the doors were ajar to circulate fresh air. The water temperature measured at 110.8 Fahrenheit (F) for the comfort and safety of all the clients. The bathroom was safe, sanitary and in operating condition. Hand soap, linen and hygiene supplies were available for all clients. PPE and paper goods remain sufficient. First Aid kit, cleaning supplies, sharps, and medications are safely stored and locked in the garage. There was a minimum supply of 2-day perishables and 7-days of non-perishable foods.