Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted the required annual inspection on 7/9/24. LPA arrived unannounced and met with Staff, Maureen Beteck. The purpose of the visit was explained. The administrator, LaTonya King, arrived shortly thereafter. The facility is licensed for (4) adults, ages 18 - 59, of which 1 may be non-ambulatory.

LPA used the Compliance and Regulatory Enforcement (CARE) tool to inspect the facility. LPA toured the facility, reviewed files, and conducted interviews. The following were observed:

The facility does not have any pools or bodies of water on the premises. There are 4 client bedrooms, 2 bathrooms, living room, dining room, kitchen, and a garage. The client bedroom has the appropriate furniture and storage space. There are extra linens and hygiene supplies. Facility has smoke detectors in each room and a carbon monoxide detector in the hallway. Knives and cleaning products are locked. Staff are continuing to follow their infection control plan. Staff are providing care and supervision to meet the clients' needs. LPA observed sufficient food supplies of 2 day perishable and a week of non-perishable items. Foods are properly stored in the refrigerator to avoid contamination. There is sufficient staffing on each shift. Facility has an awake staff in the overnight shift to supervise clients. Staff are all fingerprint cleared and associated to the facility. LPA reviewed records for 4 staff and 4 clients. They all have the required documents in their files. Facility staff have current CPR & First Aid training. They do not use any manual restraints on clients. There are no clients with a restricted health condition. Medications are centrally stored and locked. LPA reviewed medications and they are being administered as prescribed. The facility has the updated emergency and disaster plan and conducting monthly drills.

No deficiencies were observed today. An exit interview was held and a copy of this report was given to the staff.