Facility Evaluation Report

Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced Required - 1 Year visit, with a primary focus on infection control measures. Upon arrival at the facility, LPA met with Staff, Maxine Washington, Direct Support Professional and conducted a risk assessment. LPA Shirley spoke with and explained to Licensee 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. The facility annual fees are due and mentioned to Licensee, 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 aged 18-59 ambulatory. LPA Shirley and Maxine 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 106.4 degrees Fahrenheit.