Facility Evaluation Report

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA was greeted, granted entry by staff and explained the reason for the visit.

The facility is a single level structure and licensed for four ambulatory clients. As of today, the facility has three clients admitted to the facility. There’s a total of 4 bedrooms of which three rooms are for the clients and one bedrooms is for the staff. There are two restrooms available. There’s a living room space, a dining space, and an attached garage. Bedrooms: All bedrooms have the required furnishings: bed, lamp, chair, and storage space. Bathroom(s): Bathrooms are equipped with a working toilet, wash basin, and shower. Cleaning chemicals were observed locked in a cabinet below the sink. Kitchen: 4 of 4 burners are operational on the gas stove. Sharps are kept locked in a drawer next to the stove. Cleaning chemicals are stored in the kitchen below the sink. Food Service: A supply of perishable and non-perishable food items that meet regulation requirements was observed.

Client & Staff Files : Client and staff files are stored in a locked cabinet in the main hallway.

File Review: 3 of 3 client files were reviewed during the visit, and three staff files were reviewed.

Medications/First-Aid Kit: Client medications are stored in a locked medication cabinet in the kitchen. A first aid kit with all the required elements was observed in the main hallway.

Medication Review: 2 of 2 client medications were reviewed during the visit. One client does not have any medication prescribed.