Facility Evaluation Report

At 10:20am, Licensing Program Analyst (LPA) Angela Panushkina arrived at the facility to conduct an announced Pre-licensing Inspection. Upon arrival LPA met with Administrator, Marlon King. This is an application for Adult Residential Facility and has the Fire Clearance had been approved on 08/23/22 for a total capacity of four (4) ambulatory clients. The facility is a two-story home with four (4) bedrooms and two ( 2½ ) bathrooms.

Common Area: LPA observed the living room and furniture to be clean and in good repair. Living area has a fireplace with appropriate covering. The facility maintains a comfortable temperature of 70 degrees F and has a functional air conditioner. No firearms observed or will be maintained on the premises. The smoke alarm and carbon monoxide detector were operational and tested at 11:00 a.m. The fire extinguisher was observed to be with a full charge and was last serviced on 06/28/2022. Facility will always maintain a cellphone and a land line in the facility for clients use.

Kitchen/Dinning Area: LPA observed the kitchen area to be in good repair and sanitary. LPA observed a startup fully of food as well as emergency food. Sharps and medications were observed to be locked and inaccessible to residents. Trash can contain a tight-fitting lid. Appropriate plates and cups were observed. Kitchen chemicals will be stored and kept locked underneath the kitchen sink. LPA observed the dining area to be clean and in good repair. Activities were observed in the dining room area. First aid kit was observed with all the appropriate requirements.

Bedrooms: Facility has four (4) bedrooms of which all will be used for clients. All bedrooms were toured and observed with appropriate furniture and bedding. Trash cans in bedrooms will contain tight fitting lids to prevent cross contamination. This facility will have an awake staff.