Facility Evaluation Report

Licensing Program Analyst (LPA) Lorena Casillas met with House Manager Rashayla Hayes for an unannounced one (1) year Required visit for this facility. Facility is currently on a non-compliance plan.

LPA arrived at 10:00 am and was greeted by staff. LPA explained the reason for the visit and House Manager (HM) Rashayla Hayes was called. Administrator would not be able to attend, and HM was assigned by Administrator as designee to sign the report. HM arrived shortly after. A tour of the physical plant was conducted with HM at 11:00 am. The facility has four (4) bedrooms and two (2) bathrooms currently occupying three (3) clients. The facility is Fire Cleared for four (4) ambulatory.

Infection control: LPA reviewed facility mitigation plan (approved on 03/20/21) to make sure licensee was following current infection control recommendations.

Kitchen: LPA conducted tour at the kitchen at 11:00 am and observed there to be sufficient stock of two-day perishable and seven-day non-perishable foods. Frozen foods are properly wrapped and stored. Food storage and preparation areas are clean and inaccessible to pests. During the visit, facility had their weekly Monday food and supply delivery. LPA observed staff and clients cohesively putting goods away. LPA observed all knives and sharp objects being double locked and inaccessible to clients in care. LPA also observed all chemicals/hazardous items locked and inaccessible. The medication cabinet was observed to be locked.

Living and dining: LPA observed the living room to be neat and clean along with the dining room. The facility maintains a comfortable temperature at 77°F. The smoke detector and dual carbon monoxide detectors were tested and observed to be operational at 11:15 am. There is one (1) fire extinguisher located in the kitchen. The fire extinguisher was observed to be full but last serviced on 11/13/2023.