Facility Evaluation Report

On 4/19/22 at 10:00 am Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced visit with a focus on infection control, food and medication review. LPA met with staff 1 (S1) and staff (S2) explained the reason for our visit. LPA observed that both S1 and S2 was not associated to the facility. LPA asked if Administrator Daniel Godfrey can join the inspection. Administrator Godfrey joined the visit at 10:57 AM.

Facility is licensed to serve 4 ambulatory adults only. The facility is in a residential area and is a one-story structure. The facility contains a living room, dining room, kitchen, 3 bedrooms and 2 bathrooms: bathroom#2 is a private bathroom for bedroom#3, a garage, which is not for client use, a front yard, a back yard with a shaded area for client use and a laundry room that is attached to the garage. The facility smoke/ carbon monoxide detectors tested in working condition.

LPA Baptiste and administrator Daniel Godfrey toured the physical plant and observed the following: required postings, working telephone, no bodies of water, adequate lighting and comfortable temperature throughout, hallways and doorways clean and free of debris and first aid kit fully stocked. Bedrooms #1, #2, and #3 was observed to have all the required furnishings. LPA toured the bathroom and observed the required signs with soaps and paper towels. Water temperature was tested in Bathroom#1 at 111.1 and Bathroom #2 at 110.3, which is within the required 105-120 degrees F. LPA toured the Kitchen and observed sharps inaccessible to clients, toxins storage observed, adequate food supply for 3 clients with 7 days non-perishables and 2 days perishable. Medications centrally stored and locked.