Facility Evaluation Report

On 01/15/2024 Licensing Program Analyst (LPA), Yolanda Rosser conducted an unannounced Required-1-year annual visit. Upon arrival at the facility, LPA, Rosser verified that the facility has an approved mitigation plan report. LPA was granted access and allowed to enter the facility to conduct the inspection. Census 2.

LPA, Rosser met with the Administrator Ingrid Chamberlain. LPA, Rosser explained the purpose of today’s visit. The facility is licensed to operate for six (6) ambulatory and non ambulatory adults ages 18 through 59 years of age.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: three (3) client's rooms, one (1) common bathroom, a living area, a dining area, a kitchen, and outside patio area. LPA toured the physical plant. There were no bodies of water or obstruction on the premises. All rooms Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the client's personal belongings was observed. There was adequate supplies and extra linen and towels.

There was adequate perishable for at least 3 days and at least a 7 day supply of non-perishables. Continued on LIC 809C