Facility Evaluation Report

On 09/26/2023 at 02:45AM, Licensing Program Analyst (LPA) L. Hall conducted an announced pre-licensing inspection (facility is in operation and changing ownership). LPA met with Alexis Fisher, caregiver. Administrator, Monique Hatcher arrived at 3:15pm. The facility has an approved fire safety clearance for six (6) ambulatory clients. During inspection LPA observed three (3) clients and three (3) staff. The other three (3) clients arrived from the day program.

LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, back yard. The facility has a total of four (4) bedrooms and two (2) bathrooms. LPA observed pool in locked room. There is sufficient lighting around the facility. Clients rooms are equipped with the proper furniture, bedding, and lighting. Bathrooms showers/tubs were equipped with non skid mats. Passageways and hallways are free of obstruction. Locked cabinets available to store medications, toxins and sharps. Hot water temperature is measured at 110.9 degrees Fahrenheit. Fire extinguisher was last serviced on 07/02023. There is a minimum of 7-day non-perishables and 2-day perishables foods. First Aid kit was complete. Carbon monoxide and smoke detectors present.

Prior to licensure, the following shall be corrected and faxed to CCL by 10/03/2023.

Facility will submit an exception to retain individuals age 60 and over to the Centralized Application Bureau analyst.