Facility Evaluation Report

Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced Required Annual Inspection. LPA introduced herself and was granted entry into the facility by Keith Baird, Licensee, to whom LPA disclosed the purpose of the visit.

According to the facility’s license, the facility has a maximum capacity of four (4) clients, all of whom must be ambulatory. During today’s inspection, there were a total of four (4) clients residing in the home.

LPA, accompanied by the licensee, toured the interior and exterior of the facility and inspected rooms. The facility was clean and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Equipment inspected was in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s internal temperature was 72 degrees Fahrenheit. Hot water temperature at sink accessible to clients measured at 109.9 degrees Fahrenheit.

Refrigerator and freezers were operational. There was 2 days of perishable food and 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in a locked closet.

No pools or bodies of water were observed on the premises. There are firearms and ammunition present at the facility. According to the licensee, firearms and ammunition are stored in a locked safe and cabinet in the facility. Smoke alarms, carbon monoxide detector, and facility telephone were in working order. Fire extinguisher present in the home was replaced within the last 3 months. First aid kit was complete and readily accessible.