Facility Evaluation Report

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with the House Manager Alex Guilsi and Administrator Moses Bahingire has joined shortly after. At approximately 10:20 am, with the assistance of staff, LPA took a tour of the physical plant. The smoke alarms and carbon monoxide are functional. The fire extinguisher is located in the kitchen. The charge date is May 4, 2023. This is a 6-bedroom, 5- bathroom two story adult residential facility. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. LPA found a kitchen knife in one of the kitchen drawers that was unlocked. Staff immediately took the knife and stored it away. Properly labeled medications were locked in the entry closet. Bedrooms: There were four (4) bedrooms designated for clients' use. Two(2) bedrooms designated for staff use. All four (4) bedrooms, in use by clients, were properly furnished with appropriate beddings and linens with sufficient lighting . Bathrooms: There are three (3) bathrooms designated for clients' use. All three (3) bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 107.8 and 114.1 degrees Fahrenheit. No cleaning supplies or hazardous items were present in each bathroom during the inspection. Common Areas : These included the living room and dining area. The common areas were properly furnished and have sufficient lighting. Surrounding Grounds : Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The laundry area is located in the garage. No detergents or laundry hazardous supplies were present in the laundry area.

Clients Files : LPA conducted a file review of clients records to insure compliance of licensing forms.

Staff Files : LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications : Medication and Medication Records were review for proper documentation.

Exit interview conducted. Deficiency issued and copy of this report delivered.