Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced annual visit at the facility using the CARE tool. LPA met Anna Marie Elam and Asfunso Elam and explained the reason for the visit.

The facility is licensed for four (4) Developmentally Disabled Adults, ages 18 to 59. Two (2) of the four (4) may be non-ambulatory. The facility is a one-story house with 2 shared client bedrooms, 1 client bathroom, a living room, dining room, kitchen, family room, a staff room, a staff bathroom, and an attached garage.

LPA Lopez conducted a tour of the facility with Staff Asfunso Elam and observed the following:

Facility is in good repair inside, outside needs touch up paint in some parts as paint chipping. The living room has a cover fireplace. The dining room has a medication cabinet under lock. Kitchen was observed clean, cleaning supplies, and sharps are kept in a closet next to the laundry area with a lock. Sufficient food supplies were observed for at least 2 days of perishables and 7 days of non-perishables. The family room has a cabinet with activity materials. Client bedrooms (2) have sufficient lighting, required furniture and bedding. Bathroom was observed in working conditions, water temperature was tested at 109.5 -112.4 degrees F. which is within the required 105-120 degrees F. Freezer was observed in the garage at 0 degrees F. which is within the recommended temperature. Smoke/Carbon monoxide detectors were tested and in working condition. The fire extinguisher was observed and last checked on 7/16/24. The client’s cash resource log is updated.

LPA reviewed medication and files for 4 clients, and 5 staff files. Administrator certificate #6013989735 exp date: 6/15/25 and submitted for renewal and it is pending. Emergency Disaster Plan is updated and posted . Last fire drill was conducted on 06/20/2025. Per administrator an infection control plan was submitted to the department on 7/10/23..

No deficiency observed during the visit. An exit interview was conducted with Administrator Anna Marie Elam and a copy of this report, technical advisory provided and appeal rights were provided.