Facility Evaluation Report

On 12/16/2024 at approximately 09:30 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. Upon arrival LPA was greeted by Program Manager, Robert Davenport. LPA stated the reason for their visit. The Administrator, Gamze Davenport, was called and arrived shortly after to assist with today’s visit.

LPA asked for census, staff, and resident files. LPA conducted a physical plant tour at approximately 11:00 AM and the following was noted:

There is only one entrance being utilized at the facility. The facility is a two (2) story building with six (6) bedrooms and three (3) bathrooms currently occupying four (4) residents. Two (2) rooms are designated staff rooms only. The facility is fire cleared for six (6) ambulatory Clients.

Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. LPA observed required postings such as Emergency Disaster Plan, Facility License, Personal Rights and Rights of Individuals with Developmental Disabilities located in downstairs hallway leading towards bedrooms.

Smoke detectors and carbon monoxide observed to be working properly and were tested.

Both living room and dining room observed to be neat, clean, and organized. Both observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 73°F. Fire extinguishers located leading towards kitchen purchased on 11/16/2024. Electric fireplace observed to be covered inaccessible to clients.