Facility Evaluation Report

At 9:30 a.m. on 09/18/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with the Licensee and disclosed the reason for the visit. LPA and Licensee toured the facility inside and out at 10:00 a.m. today. No immediate health and safety risks were observed.

The facility was last visited on 08/11/2022 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 clients. A file review was completed prior to the visit.

Entry: The yard at the main entrance was well maintained. Once inside, LPA observed hand sanitizer and masks.

Bedrooms: The facility had 5 bedrooms. 3 bedrooms served as client bedrooms, and one bedroom was used as a staff room. The staff room was free of hazards. All bedrooms contained a chair, lamp, nightstand, storage, and a bed with adequate bedding. All furnishings were clean and in good condition.

Bathrooms: The facility had 2 bathrooms. Bathrooms contained liquid soap, paper towels, and a trash can with a tight fitting lid. At approximately 11:15 a.m. LPA measured the water temperature to be 108.4 degrees Fahrenheit.

Common areas: Walls, floors, windows, screens, and blinds were clean and in good repair. At 10:15 a.m. LPA measured the room temperature to be 74 degrees Fahrenheit. LPA observed a functioning house phone in the living room. A fire place was turned off and appropriately covered.

Kitchen: LPA observed an adequate supply of perishable and non-perishable foods. The stove hood was clean. Appliances were in good condition. Sharps and mediations were locked above the counter top.