Facility Evaluation Report

On 05/22/2024 at 09:30 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required Annual Inspection. LPA was greeted by a client at the entry and explained the purpose of the visit. Ida Moore, Care Staff contacted Frederick Williams, Administrator/Licensee (ADM) who was telephoned and arrived about 30 minutes later. Katrina Williams, co-administrator holds certificate # 6029382735, exp. 06/20/24.

LPA observed clients relaxing throughout the facility. COVID-19 screening signs, masks, gloves, and hand sanitizer remain present at the facility. LPA and ADM toured the facility including, but not limited to common areas, 2 (two) bathrooms, 3 (three) bedrooms, kitchen, garage and backyard. LPA observed mask, cough etiquette, social distancing and handwashing signs posted in the common area. ADM to post 20 seconds handwashing signs, replace garbage can in downstairs bathroom and provide paper towels when needed. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. Handwashing stations were equipped with handsoap, the hot water temperature in the shared residents' bathroom was measured at 107.9 degrees Fahrenheit (F.) and the facility's temperature was 69 F. Fire extinguisher was observed full and last inspected on 04/30/24. Smoke/Carbon Monoxide detectors were observed operational and first aid kit was complete.

The following forms are to be updated and submitted to CCLD on or before 06/05/24:

-LIC308 Designation of Administrative Responsibility (Reviewed)

-An updated copy of Administrator Certificate(s)