Facility Evaluation Report

On 08/27/24, 10:25AM Licensing Program Analyst, (LPA) Raymond Comer, conducted an unannounced annual visit to this facility. LPA met with Facility Administrator, Rhoda Gochin and reason for the visit was disclosed.

Facility is licensed as a single-story residence for four (4) ambulatory residents assessed as mentally disabled. Facility has four (4) total bedrooms; one bedroom is shared, two bedrooms are private, and a fourth bedroom is designated for staff only. Total of two (2) bathrooms.

At 11:15 AM , LPA conducted a tour of the physical plant with the Administrator and observed the following:

Physical plant was inspected for cleanliness and conditio n . Facility’s main door is the primary entry/exit access, and two emergency exits located in the rear of dining room and the laundry room. Visitor Sign-in sheet, hand sanitizer, gloves and masks are available . Room temperature is comfortable; wall thermostat displays a setting of 70.0°F . within the required range. An approved Mitigation and Infection Control plan is on file. Hand washing, coughing etiquette, and other necessary signage are prominently displayed throughout the facility. Required postings observed to be current. Disaster drills were last conducted on 7/05/2024.

Fire Detection sensors are present in the facility. A carbon monoxide detector, located in the hallway, was tested and observed as working properly. Smoke Alarms in Bedrooms #2,#3, and #4 were tested and observed to be working properly. LPA observed one (1) fire extinguisher located in the kitchen area. Extinguisher displays service date : 05/09/2024.