Facility Evaluation Report

Licensing Program Analyst (LPA) Tuesday Cabiness met with Administrator Mary Ballard and informed her the reason of the visit; which is to a conduct an annual inspection. Facility is Licensed to retain 4 ambulatory and 2 non-ambulatory clients with the Level Four intellectual disabilities. The current census is (6); but during the visit, there were (2) clients present.

The following was observed during the inspection: Kitchen: LPA observed Licensing requirement of (7) day nonperishable, and (2) perishable, with extra refrigerator stocked with food. Food was properly wrapped, and appliances were functional, clean, and in good repair. Chemicals, household supplies, and knives, were locked and secured. Living/dining/family: All indoor passageways were free from obstruction; inside temperature was comfortable, with adequate lighting, and all areas were clean and appropriately furnished for client's comfort. Bedrooms: The facility has (4) bedrooms; with (2) rooms are shared; and (2) private rooms. There (1) room used for staff office. Client rooms have appropriate lighting, furniture, bedding, and linens. There are sufficient linens observed and available . Personal hygiene products are available for client's use. Bathrooms: There are (3); all were clean, with soap and towels. Hot water measured at 111.4 degrees Fahrenheit. Surrounding Grounds: There were no visible hazards; passageways were free from obstruction and gates were easily accessible to open. The backyard has outdoor furniture with a covered shaded area for clients. There is no body of water at the facility. Fire extinguisher fully charged. First aid kit furnished fully equipped. Smoke alarms and carbon monoxide detectors are functioning. The facility has a sufficient supply of PPE. Laundry area is located by the kitchen, laundry detergents, cleaning agents and other toxins are stored in a cabinet which was observed to be locked and inaccessible to clients.

Medications - LPA observed medication to be locked and inaccessible to clients. There were no medication errors. Record review: A complete record review of staff and clients were conducted; all required documents were in files, including training and client medical assessments. All staff and clients are vaccinated. No citation issued; exit interview and copy of report provided.