Facility Evaluation Report

At 1:00 p.m. on 01/10/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual visit. LPA met with the house manager and disclosed the reason for the visit. LPA and manager toured the facility inside and out.

The facility was last visited on 01/25/2022 for an annual visit. It is a single story building with 5 bedrooms, 2 bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for 4 ambulatory residents.

At the main entrance, LPA observed signs for the facility’s COVID policies. Additional postings included emergency contacts, confidential complaint contacts, personal rights, emergency disaster plan, facility sketch, and grievance procedure. LPA was screened for infectious disease upon entry. The screening station contained a digital thermometer, temperature log, masks, gloves, hand sanitizer, and N95 masks.

LPA observed an adequate supply of perishable and non-perishable food in the kitchen. A menu was posted on the refrigerator. The stove hood was clean, and all surfaces were sanitary. Sharps were locked above the counter top. Cleaning solutions were locked below the sink. Medications were locked in a high kitchen cabinet. Staff were observed helping a client with food preparation. At 1:12 p.m. a fully charged fire extinguisher was observed near the kitchen. It was last inspected on 05/18/2022. A laundry area was located just outside of the kitchen. The washer and dryer were operational. Detergents were locked in a cabinet.

The facility had 5 private bedrooms. Bedroom #1, #2, and #5 were designated for clients. All bedrooms contained a chair, nightstand, lamp, storage, and bed with adequate bedding. All furnishings were clean and in good condition. Bedroom #3 and Bedroom #4 were locked and designated for staff. A small office area near Bedroom #4 contained secure consumer files. 3 linen closets, located between Bedroom #1 and Bedroom #2, contained an adequate supply of fresh linens and towels. Walls, floors, ceilings, windows, screens, and blinds were clean and in good repair. At 1:21 p.m. LPA measured the room temperature to be 70 degrees Fahrenheit.