Facility Evaluation Report

On 09/06/2024 Licensing Program Analyst (LPA) Hollie Enriquez conducted a Case Management-Annual Continuation Visit at the above facility. LPA met with Administrator Andrea Robinson and the purpose of today's visit was explained. The facility is licensed to operate for six (6) ambulatory adults with Mental Illness ages 18 through 59. Currently the facility has six ( 6) clients in care.

LPA toured the kitchen area with Administrator and observed medication storage to be safe, locked, and inaccessible. All medications observed were labeled and maintained in compliance with label instructions according to State and Federal laws. First aid kits are fully stocked with manual. Smoke and carbon monoxide detectors were in compliance and operational. Documents are posted as mandated. Last Disaster drill was conducted on 08/17/2024. There is internet access and a video conferencing device dedicated for client use.

LPA reviewed six (6) client records, five (5) staff records, and two (2) client medications with MARs. LPA observed records and medication documentation to be in compliance.

No deficiencies have been cited. An exit interview was conducted and a copy of this report has been provided to Administrator Robinson.