Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry and met with Hasayn Bailey, Lead Direct Support Staff.

The facility is a level 4i , four bedroom and one office, three bathroom home with an approved fire clearance of four non-ambulatory clients . The facility currently has a census of two clients in care.

During today’s visit, LPA toured the facility and inspected carbon monoxide and fire sensors, as well as testing hot water temperature in three of three client bathrooms . The hot water temperature measured between 118.0 and 118.2 d egrees Fahrenheit and all smoke detectors were operational . The fire extinguisher is charged and was serviced on May 16, 2025. The facility’s last fire drill was conducted on May 14, 2025. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand with emergency supplies and water in the garage. All appliances were in working order. Sharps and knives, as well as hazardous chemicals/ cleaning supplies are secured in a locked storage unit in the garage. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed.

LPA reviewed three of three staff training and fingerprint records and conducted a complete review of client records. Client P&I records were reviewed and were accurate. LPA interviewed alert clients regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on January 13, 2027.