Facility Evaluation Report

On 4/20/2023 at around 10:00AM, Licensing Program Analyst (LPA) Leslie Ibo arrived unannounced to conduct annual required inspection and greeted by Administrator Belinda Conyers. Facility has census of 2. LPA observed 3 staff.

LPA observed Administrator's daughter (F1) residing at facility who is an RCEB client. Daughter is fingerprint cleared and associated to facility.

LPA toured the entire premises with staff (s3), including but not limited to indoors and outdoors. Smoke detectors and carbon monoxide detectors were observed operational. The facility was observed to be clean and odor free. LPA observed fire extinguisher located at the kitchen area with receipt date of June 2022.

There was sufficient supply of perishable and nonperishable foods observed. Freezer temperature was observed at zero (0) degrees Fahrenheit. Refrigerator temperature measured at 40 degrees Fahrenheit. First aid kit was complete. Vehicle insurance and registration were verified as current.

LPA reviewed medication and Medication Administration Record (MAR) with S3 facility. P&I money and documents was reviewed.

LPA interviewed 2 staff. LPA attempted to interview clients in care, however clients are non-verbal. Clients appeared to be comfortable, has clean clothes and no odors noted. At around 11am, LPA reviewed 2 clients files and 3 staff files.