Facility Evaluation Report

Licensing Program Analyst (LPA) Tuesday Cabiness, and Licensing Program Manager Troy Agard conducted an annual inspection. LPA and LPM was greeted by Registered Behavior Technician Patience Kobusingye, who allowed us to enter; there were (3) additional staff on duty. The current census is (2); and during the visit, both clients were at program.

A physical plant tour of the facility inside and outside was conducted with Administrator, LPA and LPM. The following common areas were inspected: living, dining, kitchen, resident bedrooms, and bathrooms.

Kitchen: LPA observed a Licensing requirement of (7) day nonperishable, and (2) perishable. Food was properly wrapped, and appliances were functional, clean, and in good repair. Chemicals, household supplies, and knives, and locked and stored in the garage. Everything was locked and secured. Living/dining: All indoor passageways were free from obstruction; inside temperature was comfortable, with adequate lighting, and all areas were clean and appropriately furnished for resident’s comfort. Bedrooms: The facility has (4) bedrooms. All bedrooms were properly furnished and supplied with appropriate bedding and linens. There were sufficient linens observed and available . Bathrooms: There are (3); all were clean, with soap and towels. Hot water measured at 105.0. degrees Fahrenheit. Surrounding Grounds: There were no visible hazards; passageways were free from obstruction and gates secured. Fire extinguisher fully charged. First aid kit furnished fully equipped. Smoke alarms and carbon monoxide detectors are operating properly.

Record review: A complete record review of staff and client were conducted. All required documents in files; including training was current.

Exit interview conducted, and copy of report provided.