Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted a Case Management Visit on 9/26/23 at 9 am. LPA Ramirez gained entry into the facility at 9:03 am. LPA Ramirez was greeted by clients upon entry. LPA Ramirez conducted facility tour while Administrator/Licensee Carolee Hazzard prepared breakfast for clients in care.

· LPA Ramirez toured facility and observed three (3) bathrooms on 1st floor to contain Master padlocks. Per Administrator/Carolee Hazzard, these bathrooms are under remodel and pose a potential hazard to clients in care if they are left accessible to clients in care. LPA Ramirez observed four (4) additional full bathrooms, of which, one (1) was located on the 1st floor of the facility and three (3) located on the 2nd floor. The 2nd floor bathrooms appeared to have been recently remodeled.

Licensee will develop a plan to address the additional remodeling to downstairs bathrooms and provide a time frame by 10/01/23. All remodeling in downstairs bathrooms should bed completed by 10/31/2023. Licensee will send pictures of completed downstairs bathrooms by 10/31/23.

No deficiencies are being cited however, LPA issued Technical Violation. Exit interview was conducted. A copy of this report, LIC 9102, and appeals rights was provided.