Facility Evaluation Report

Licensing Program Analyst (LPA) Lorena Casillas met with stand in Administrator Linda Hughes for an unannounced one (1) year Required visit for this facility.

LPA arrived at 9:20 am and was greeted by staff members. Staff members called Administrator Linda Hughes and was told that they would be arriving shortly. Administrator Linda Hughes arrived at 9:30am.

A tour of the physical plant was conducted with the Administrator at 09:45 am. The facility has four (4) bedrooms and two (2) bathrooms currently occupying four (4) clients.

Infection control: LPA reviewed the facility mitigation plan (approved on 03/13/21) to make sure the licensee was following current infection control recommendations.

Living and dining: At 09:45 am, LPA observed the living room and family room area to be neat and clean along with the dining room. Client files are locked in a file cabinet in the dining area. The facility maintains a comfortable temperature at 74°F. The carbon monoxide detector and smoke detectors were tested and observed to be operational at 10:00 am.

Kitchen: LPA conducted a tour of the kitchen around 09:50 am and observed a supply of seven-day non-perishable and two day perishable foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives, cleaning supplies, pesticides, detergents and/or toxins are stored in the cabinet below the kitchen sink and were locked and inaccessible to clients. Medications are also locked in a kitchen cabinet along with a properly stocked first aid kit. There is one (1) fire extinguisher located in the kitchen. The fire extinguisher was serviced on 10/16/2023.