Facility Evaluation Report

At approximately 8:50am, Licensing Program Analysts (LPAs) Felias and Magdaleno arrived unannounced to conduct a Case Managem ent - Annual Continuation visit and were greeted by staff Keith Barnes . Lakeda Brown, Administrator , arrived at approximately 10:00am. Upon arrival, LPAs were informed that there were five (5) clients in care with three (3) clients out of the facility attending Day Program.

At approximately 9:00am LPAs conducted a review of clients files and staff files, all required documentation present. Staff all had current CPR/First Aid and three (3) out of five (5) staff had water safety certificates.

At a pproximately 11:30am LPAs conducted a check of P&I cash resources. All records present and cash is reconciled.

At approximately 11:40am LPAs conducted a check of medication. All medication centrally stored and locked.

Updated copies of the following documents are to be submitte d to CCL within 30 days of this visit :

LIC400 - Affidavit Regarding Client Cash Resources

LIC610D - Emergency Disaster Plan (updated)

No deficiencies cited. Exit interview conducted with Administrator, whose signature on form confirms receipt.