Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Required 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA explained the purpose of the visit to Ronald Brown and Denice Reed, House Managers for the facility, and was granted entrance. There are three (3) ambulatory clients that reside in the home.

The following 12 (CARE) tool domains were reviewed:

· Infection control practices and Personal Protective Equipment (PPEs) were observed. LPA observed that the facility had a completed infection control plan.

· The facility is a single-story home located in a residential neighborhood that is licensed for a capacity of six (6) ambulatory mentally disabled clients between the ages of 18-59. It consists of five (5) client bedrooms, a living room, dining room, a kitchen, two shared client bathrooms, a front and back patio area, and washer and dryer machines that are kept in the backyard of the facility. Knives, chemicals, and cleaning supplies are kept locked in a locked room that is currently being used as storage. (continued)