Facility Evaluation Report

Licensing Program Analyst (LPA) Shira Stamps met with Licensee Shirley Walker for an unannounced one (1) year Required visit for this facility. LPA arrived at 10:20 am and was greeted by caregiver Brenda Frazier. The Licensee arrived at 10:45am, and LPA informed the Licensee of the purpose of the visit.

Infection control: LPA reviewed the facility mitigation plan (approved on 03/07/21) to make sure the licensee was following current infection control recommendations. Upon arrival LPA was properly screened by caregiver Brenda Frazier.

A tour of the physical plant was conducted with the Licensee at 10:45 am. The facility has four (4) bedrooms and two (2) bathrooms currently occupying four (4) clients. Two (2) bedrooms are designated for staff use only.

At 10:45 am, LPA observed the two living room areas to be neat and clean along with the dining room. The facility maintains a comfortable temperature at 70°F. The smoke detectors and carbon monoxide detectors were tested and observed to be operational at 11:00 am. There is one (1) fire extinguisher located in the kitchen. The fire extinguisher was observed to be full and last serviced on 08/06/21. LPA observed the staff and client files locked in the filing cabinet.

At 10:48 am, LPA observed the laundry room. LPA observed the medications and cleaning supplies locked in cabinets inaccessible to clients in care.