Facility Evaluation Report

At 11:20 a.m. on 04/22/2024, Licensing Program Analyst (LPA) Nicholas Reed conducted a prelicensing inspection. LPA met with the applicant and current staff and disclosed the reason for the visit.

Today’s prelicensing visit is conducted due to a change of ownership with clients in care. The previous facility was Fairhaven Home I (197605835). Fairhaven Home I was last visited on 07/20/2023 for an annual visit. The facility is a single story building with four (04) bedrooms, three (03) bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for 6 ambulatory residents.

LPA and applicant toured the facility inside and out at 11:25 a.m.

An unlocked gate surrounded the perimeter of the facility. The front yard was well maintained and included shaded patio furniture in good repair. A non-slip mat was placed at the main entrance.

Walls, floors, windows, screens, and blinds were clean and in good repair. At 11:30 a.m. LPA measured the room temperature to be 69 degrees Fahrenheit. The living room contained a television, reading material, and furniture in good condition. LPA observed postings in the office area for the facility license, personal rights, confidential complaint contacts, emergency disaster plan, neighborhood complaint procedure, grievance procedure, COVID precautions, and facility sketch. A small wash room near the office area contained locked, inaccessible medications.

At 11:35 a.m. LPA observed two (02) fully-charged fire extinguishers in the kitchen. They were purchased on 10/20/2023 and 06/20/2023. The kitchen surfaces were sanitary and the stove hood was clean. Adequate supplies of perishable, non-perishable, and emergency food were observed in the refrigerator, freezer, pantry, and garage. Sharps and cleaners were locked below the sink.

A laundry area was observed near the kitchen. It contained a washing machine and dryer. Both were in working order. Detergents were locked above the appliances.