Facility Evaluation Report

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced annual visit at the facility using the CARE Tool. LPA Mora met with Mike Johnson (Direct Support Professional) and explained the reason for the visit. Shortly after John Paul Adeleye (Administrator) showed up. The facility is licensed to serve 4 ambulatory only clients in the age range of 18 through 59. The facility is operating within the scope of the license.

A tour of the single-story facility included the living room, kitchen, dining area, 4 client bedrooms, 2 bathrooms, laundry area, front yard, backyard, and detached garage. LPA Mora conducted the tour with Mike Johnson and observed the following: sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables were observed in the kitchen. Sharps were observed locked in the medication closet. Chemical and cleaning solutions are kept locked under the kitchen sink. The First Aid kit is kept locked in a kitchen cabinet and it is fully stocked with all required items including a current manual. Clean towels and extra clean linen were observed in each bedroom. Dining and living room have sufficient lighting and sitting area. Most medications are kept locked in the medication closet in the hallway. There are some medications kept in a kitchen cabinet and a metal box inside the refrigerator. This kitchen cabinet and metal box have a lock mechanism, but the locks are not working on both. Client files are kept in the medication closet and staff files are kept in the garage. All bedrooms have all required furniture, lighting, and bedding. Bedroom #1's window screen is damaged and has an opening. All bathrooms were observed with shower mats. The water temperature was tested in both bathrooms and measured at 113.1 degrees F and 112.1 degrees F, which is within the required 105-120 degrees F. Bathroom #1 is missing the toilet seat. A fire extinguisher was observed in the kitchen and it is fully charged. Smoke detectors were observed throughout the facility and in each room and were operable during the visit. There is a carbon monoxide in the laundry area and was operable during the visit. The front yard and backyard are clean. There is a shaded area with seating in the backyard. No bodies of water were observed at the facility. Passageways and exits are free of obstruction.