Facility Evaluation Report

At 8:30 a.m. on 12/27/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with the house manager and disclosed the reason for the visit. LPA and house manager toured the facility inside and out at 9:00 a.m. No immediate health and safety hazards were observed during today’s visit.

The facility was last visited on 10/23/2023 for a complaint visit. It is a single story building with five (05) bedrooms, two (02) bathrooms, kitchen, common areas, and outdoor areas. It has an approved fire clearance for four (04) ambulatory clients. The facility uses surveillance cameras on the exterior.

At the main entrance, LPA observed a maintained front yard and a basketball hoop in the driveway. Postings were observed inside included the facility license, personal rights, emergency contacts, confidential complaint contacts, activity schedules, grievance policy, staff schedule, COVID precautions, and emergency disaster plan.

The facility has five (05) bedrooms. One (01) bedroom is designated as a staff room. The staff room was locked and free of hazards. All bedrooms contained a lamp, nightstand, storage, and a bed with adequate bedding. All furnishings were clean and in good condition. Bedroom #4 did not have a chair by preference of the client. Bedrooms with immediate exit doors were unlocked.

The facility has 2 bathrooms. All bathrooms contained paper towels, trash can with a tight fitting lid, and a non-skid mat in the shower. The house manager confirmed liquid soap is provided with each client use of the bathroom. The bathroom near the staff room had a shower door missing. The house manager explained it is undergoing maintenance. At approximately 9:20 a.m. LPA measured the water temperature in the shared bathroom to be 116.5 degrees Fahrenheit.