Facility Evaluation Report

Licensing Program Analyst (LPA) Tyler Reyes conducted the unannounced Annual Inspection and met with Administrator Lashon A. Johnson and explained the reason of today’s visit.

For today's inspection LPA used the Compliance and Regulatory Enforcement (CARE) Tools to inspect the facility. The facility is licensed for age range 18 through 59 and 4 ambulatory of which 2 may be non-ambulatory. The facility has (4) bedrooms and (2) bathrooms, backyard, and a detached garage.

The following was observed, reviewed, and inspected:

LPA reviewed all (4) clients files and reviewed Administrator's and (2) staff files. Staff were cleared, CPR/First Aid certified and had all documentation's in place. Clients had appropriate documentation's and Physician Report w/ TB.

LPA reviewed (4) client medications and Medication Administration Record, all medications had labels, in place and no deficiencies were observed. LPA observed with Administrator Johnson in area accessible to clients in the office/laundry area was medications. In an open box covered by a staff's sweater was client #1 (C1) prescribed Thick-It Powder medication. Underneath that shelf in an open box was C2's Lorazepam 0.5 MG Tablet medication.