Facility Evaluation Report

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced annual required visit. LPA met with facility staff and explained the reason for this visit.

A tour of the physical plant was done from 12:30-12:50pm and the following was noted:

Facility has three (3) bedrooms and two (2) bathrooms. There is no body water in the facility.

Bedrooms were toured and observed to be clean and properly furnished. Linen storage was also checked and observed to have ample supply of clean linen and towels.

Bathrooms were observed to be clean and sanitary with necessary supplies. Hot water temperature measured at 115°F and within the required range..

Physical plant was checked for cleanliness and condition. Facility was in good repair and observed to be clean and free of obstructions during today's visit.

Living and dining room furniture were also checked for functionality (wear and tear). Furniture was observed to be in good condition.

Kitchen area was observed to be clean and sanitary. All the toxins, cleaning solutions and disinfectants are locked in the cabinet in the garage.

Food . The facility is observed to have sufficient food supply for the clients both perishable and non-perishable.

Temperature of facility wall thermostat is observed to be within the required range.

Garage is attached to the house. Garage is also used as laundry room and storage. Cleaning solutions and laundry detergents are observed kept in the locked cabinet in the garage.

No deficiencies cited. Exit Interview conducted