Facility Evaluation Report

Licensing Program Analyst (LPA) Shira Stamps met with Administrator Marie Bru for an unannounced one (1) year Required visit for this facility.

LPA arrived at 10:55 am and was greeted by a caregiver. Two (2) clients were observed in the living room watching TV. The Administrator arrived at 11:15 am. LPA informed the Administrator of the purpose of the visit.

Infection control: LPA reviewed facility mitigation plan (approved on 03/13/21) to make sure licensee was following current infection control recommendations. Upon arrival LPA was not screened by the caregiver and not asked to sign in. LPA did review the visitors log and visitors were screened and checked in. LPA reviewed with the Administrator that Licensing staff still needs to be screened.

A tour of the physical plant was conducted with Administrator at 11:25 am. The facility has four (4) bedrooms and two (2) bathrooms currently occupying four (4) clients. One (1) bathroom and bedroom is designated for staff use only and the facility has awake staff at night. The facility is Fire Cleared for six (6) ambulatory.

LPA observed the living room to be neat and clean along with the dining room. The facility maintains a comfortable temperature at 69°F. The smoke detectors were tested and observed to be operational at 11:40 am. There was no carbon monoxide detector found in the facility. At 12:04 pm a staff member brought and installed a new carbon monoxide detector. There are three (3) fire extinguishers, one (1) is located in the kitchen and two (2) are located in the hallway on each side of the house. The Fire extinguishers were observed to be full and last serviced on 05/04/22.