Facility Evaluation Report

On 11/20/24, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced required annual visit using the full CAREs Inspection Tool. LPA met with Administrator, Beverly Brinson and explained the purpose of today’s visit. The facility is licensed to serve elderly developmentally disabled residents ages 18 thru 59 years old.

LPA reviewed all resident files and found that they did not contain all required documents. LPA reviewed three (3) staff files and found they did not contain all required documents, training, and certification. During file review, LPA did not observe the surety bond.

LPA Felisa and Beverly 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, dining area, and patio. 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), nightstand, 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 Beverly 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 file cabinet located in the dining area. LPA observed a 3-day supply of perishable and a 7-day supply of nonperishable foods.

The (2) bathrooms are clean and operational. First aid kit is fully stocked with manual. No firearms are stored at facility and no bodies of water present. This facility is in good repair.