Facility Evaluation Report

On 03/27/23, Licensing Program Analyst (LPA) Wendy Gibbs conducted an unannounced required annual visit using the CARE Inspection Tools. Upon arrival at the facility, LPA Gibbs met with Administrator, Allen Hawkins and explained the purpose of this visit. The facility is licensed for four (4) ambulatory developmentally disabled clients ages 18-59 years of age. Currently there are 2 residents living in the facility. Residents were not present during the visit, they were at day program.

Structure The facility is a single-story home in a residential neighborhood. It consists of (2) resident bedrooms, (1) bathroom, living room, dining room/ den, kitchen, staff room, office area and an outdoor covered patio, backyard, an attached garage, and 2 storage sheds.

Physical Plant LPA and Administrator toured the facility, inside and out. Outside LPA observed a covered patio with table and chairs for Resident use. The Administrator has a worktable behind the house and 3 locked sheds with work supplies. In the garage is facility storage, cleaning supply, staff and resident files, paper goods and additional PPEs. All walkways were clean, clear, and free of obstructions, hazards, and debris. LPA did not observe any bodies of water on the premises.

Bedroom All rooms were inspected. Bedrooms are private. All rooms have the required furniture including a bed, dressers, nightstand, chair, and storage for personal belongings. Beds and bedding supplies were in good condition. All beds have the required linens including mattress cover, fitted sheets, blankets, comforter and pillows. Resident rooms had adequate lighting.

Bathroom LPA checked the bathroom. LPA observed sufficient liquid soap and paper towels. Toilets, water faucets, and shower worked properly. The grab bars were securely fastened. The shower had nonskid material on the bottom. LPA observed the shower to be free of mold/mildew. The water temperature measured at 115.9-degrees Fahrenheit.

Linens LPA observed and adequate supply of linens and towel in the cupboard in the hallway. Additionally in the hall cupboard is a supply of paper goods and hygiene products.