Facility Evaluation Report

On 12/10/2024 around 10:05 AM, Licensing Program Analyst (LPA) L. Holmes arrived to complete and conduct an announced required Annual Inspection that was last attempted on 12/06/24. LPA met with Wanda Dyer, Administrator (ADM) and explained the purpose of the visit. The facility’s fire clearance was approved for four (4) ambulatory clients. Facility has one (1) client and approved for ambulatory residents ages 18-59.

ADM continues to have COVID-19 signage posted throughout the facility. LPA toured the facility including, but not limited to common areas, bathroom, bedrooms, kitchen and surrounding areas. Handwashing signs and covered garbage cans are in place. Bathrooms were equipped with grab bars, soap, paper towels and in sanitary condition. Hot water temperature in the shared clients' bathroom measured at 119.7 degrees Fahrenheit (F) and facility temperature was 73 degrees (F). Fire extinguisher observed full; tag needs to be replaced from last inspection on 12/08/24. Smoke and Carbon Monoxide detectors observed operational. First aid complete. LPA reviewed age exception, two (2) staff and one (1) Client records. Advised ADM to update the Emergency Disaster Plan with a second relocation shelter.

The following forms are to be updated and submitted to CCLD on or before 12/24/2024.

-LIC308 Designation of Administrative Responsibility

No deficiencies cited. Exit interview conducted and a copy of this report provided to ADM.