Facility Evaluation Report

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with staff, Tina Harris and explained the reason for the visit. Administrator, Joshua Cration could not attend the annual for the day due to an emergency. At approximately 1:10 PM, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are interconnected and battery-operated. There is a carbon monoxide detector that functions properly installed in the hallway between Clients rooms. The fire extinguisher is located in the kitchen and laundry room. The charge date is May 17,2024. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the office cabinets. Bedrooms: There were three (3) bedrooms designated for clients' use. All three(3) 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 bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 110.6 and 113.8 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. Surrounding Grounds : Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. Laundry room is accessible through one of the activity areas leading to the garage which is locked an inaccessible to the clients. There is one washer and dryer in the laundry area. The toxins are kept in the garage in a cabinet and locked.

Resident Files : LPA conducted a file review of resident records to insure compliance of licensing forms.

Medications : Medication and Medication Records were review for proper documentation.

Temperature: Facility maintains a comfortable temperature of 70 degrees Fahrenheit

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. LPA observed that Staff (S1) has missing forms in their file, Staff (S2) and Staff (S3) have no physical file at the facility. Staff couldn't explain the reason for the missing folders.