Facility Evaluation Report

Licensing Program Analyst (LPA) Perry Scott conducted an unannounced Required - 1 Year visit, with a primary focus on infection control measures. Upon arrival at the facility, LPA met with licensee, Beverly Creel and conducted a risk assessment. Based on the assessment, the facility is clear of Covid-19 infection. LPA Scott informed Beverly Creel that the purpose of today's visit was to conduct the facility Annual inspection, review the physical plant, medications, food service, clients, and staff records. LPA was properly screened for Covid-19 symptoms and temperature was checked and logged in the visitor’s book. The facility annual fees are current, and a current mitigation plan is on file.

The facility is a single-story corner home located in a residential neighborhood. It has a capacity for four (4) residents age 18-59 ambulatory. LPA Scott and Creel made a complete tour of the facility which included: Living room, dining room, kitchen, breakfast area, den, 2 bedrooms, 1.5 bathrooms, laundry room, attached garage, shaded area, indoor/outdoor activity areas. Knives and toxins were kept under lock and key.

Documents were posted as mandated. The following Title 22 regulated areas were audited and found to be complying: Bedrooms contain the required furniture. The client’s bedrooms were inspected for safety, privacy, and comfort. The living areas are clean, bathrooms are clean and operational. First aid kit is fully stocked with manual, hot water temperature is 106.1 degrees Fahrenheit.