Facility Evaluation Report

On 10/11/2021 at 09:30am Licensing Program Analysts (LPAs) C. Fowler and L. Hall conducted an announced pre-licensing inspection and met with Pia Webster, Licensee.

LPAs toured the clients bedrooms, bathrooms, common living areas, kitchen, garage and backyard. There are three (3) bedrooms and two (2) bathrooms. There is sufficient lighting around the facility. Clients' rooms are equipped with the proper furniture, bedding and lighting. Passageways and hallways are free of obstruction. Hot water temperature is measured at 105.0 degrees Fahrenheit. LPAs observed locked cabinets that will store medications, toxins and sharps. Required posters are posted on the wall. Thermometer in hallway showed temperature as 68 degrees F. Emergency disaster plan dated 08/17/2021. Fire extinguisher was last serviced on 03/21/2021. First Aid kit was complete. Carbon monoxide/smoke detectors were in working condition.

No issues noted during inspection. LPAs observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required.

Exit interview conducted and a copy of this report provided.