Facility Evaluation Report

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced Annual visit using the infection Control Evaluation Tool. LPA arrived unannounced and met with staff Rochelle Sisco. The purpose of the inspection was discussed. The Assistant Administrator Jana West arrived shortly after to assist with the visit. The facility is licensed to serve six (6) developmentally disabled adults between the ages of 18-59.

LPA observed the physical plant, COVID-19 procedures, reviewed clients' medications, observed food supply, and reviewed staff and resident files. Currently, there are six (6) clients in placement .LPA observed two (2) clients at the time of this visit.

This is a single story home consisting of: three (3) client bedrooms, two (2) bathrooms, living room, dinning room, kitchen, laundry area, outside patio / activity area and detached garage. There is a storage unit/shed in the back yard which is kept locked and inaccessible to clients. LPA observed that the facility does not have a swimming pool or other bodies of water. All indoor and outdoor passageways were free of obstruction.

There is only one entrance being utilized at the facility, all required posters were posted at the entrance. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. LPA was screened upon entry. All staff were observed to be wearing mask during this visit.

Client bedrooms were checked. Each bedroom has a smoke detector, bed, linen, dresser, light, and sufficient closet space. The client bathrooms were toured. Bathrooms have the required hygiene items, grab bars and non-skid mat. The hot water temperature was tested and was not measured within Title 22 Regulation guidelines. The kitchen was inspected. There is sufficient perishable and non-perishable food. All the appliances are clean and working properly. LPA observed laundry detergent unlocked and accessible to clients in the laundry area near the kitchen.