Facility Evaluation Report

On 2/5/25, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced required annual visit using the full CAREs Inspection Tool. LPA met with the Administrator, Zoe Clark and explained the purpose of today’s visit. The facility is licensed to serve adult developmentally disabled residents ages 18 thru 59 years old.

LPA reviewed all resident files and found that they did contain all required documents. LPA reviewed six (3) staff files and found they did contain all required documents, training, and certification. LPA Shirley reviewed all residents MAR and medications. During file review, LPA observed the liability and surety bond.

LPA Felisa and staff, Joan toured both inside and outside of the facility. The facility is a one-story structure located in a residential neighborhood. The facility consists of (3) client bedrooms, (2) bathrooms, living room, kitchen, and dining area. Facility maintains all required posting throughout the facility.

All bedrooms were toured. Bedrooms 1-3 are occupied by residents and contain the mandated furniture. LPA observed all rooms to have the required furniture including a bed, dresser(s), and chair(s). All beds had the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillow. LPA observed ample lighting in all the bedrooms.

LPA Shirley and Joan toured the kitchen and found it to be clean and sanitary. All appliances were in good working order. Knives were locked and stored. The medications were locked and stored in the cabinet located in the kitchen. LPA observed a 3-day supply of perishable and a 7-day supply of nonperishable foods.