Facility Evaluation Report

Licensing Program Analyst (LPA) Rachel Bruce arrived at the facility to conduct the Pre-Licensing Inspection. LPA met with Administrator /Licensee (AD) Shamonique Anderson.

LPA began the tour by entering through the front door of the 4 bedroom/2.5 bathroom/2 story home. Interior common areas have adequate furnishings and lighting. All 4 client bedrooms have the required beds, appropriate linens, night stands with drawers and closet space.

Smoke and Carbon Monoxide detectors were tested and observed to be in working order. LPA observed an adequate supply of towels. Personal hygiene and grooming products will be stocked and appropriate for the residents once they are living in the home. There were paper towels in the bathrooms and all waste receptacles had lids. Hot water temperature in bathroom measured below 100 degrees F. Non-Skid mats present in the showers.

Kitchen observed to have supply of dishes, plates, pots and pans. LPA observed utensils, cups and miscellaneous dishes in adequate numbers to serve 4 residents. Food storage and preparation areas are clear and appropriate for food preparation. Cleaning supplies and chemicals are locked in the down stairs closet located in the dining area. Sharps/knives have a designated locked location in the kitchen. Appliances observed to be in working order. LPA did not observe a 7 day supply of non-perishable food.

Storage of medication will be in a locked filing cabinet in the dining area. First aid kit contains all the required items and is stored in locked downstairs closet.. Two fire extinguishers were observed. One in the kitchen/dining area and the second in upstairs laundry room. Both have receipts taped to them, purchased this month. Washer and Dryer observed in the laundry room. Detergent was present but will be locked away when there are residents.

Doors and passageways are unobstructed throughout the home. Outside of the facility toured. There is adequate furnishings under the covered patio.