Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan made an announced case management visit for the purpose of a capacity increase from four (4) non-ambulatory to six (6) non-ambulatory clients. LPA met with Administrator Annette Kyampaire. The fire clearance was approved by the local Fire Inspector on 9/7/21.

LPA toured the facility with the Administrator. The facility has a total of 5 bedrooms and 4 bathrooms, which were observed to be clean and in good condition. The 5th room located right before the back living room, was converted into bedroom #5. Bedroom #5 is set up as a shared client bedroom for 2 non-ambulatory clients. This client bedroom consists of 2 beds in good repair, 2 chairs, 2 night stands with a lamp on each, and 2 drawers. The hot water temperature was measured and maintained between 105 - 120 degrees F. There are sufficient supplies of perishable and non-perishable food observed. LPA also observed extra linens, hygiene supplies, dinnerware, and silverware to accommodate up to 6 clients.

There are no deficiencies observed during today's visit. An exit interview was conducted and a copy of this report was given to the Administrator.