Facility Evaluation Report

Licensing Program Analyst (LPA) Jerome Haley made an announced visit to this facility to conduct a pre-licensing inspection and Component III orientation. LPA was greeted and granted entry by staff and stated the purpose of the visit. LPA met with Administrator (AD) Leona Smith. AD Smith has a current Administrators Certificate that expires 3/23/24.

The facility is a two story home with eight bedrooms and five bathrooms. The upstairs portion (1 bedroom and 1 bathroom) of the facility is for staff use only. The facility is being licensed for a capacity of five: four ambulatory clients and one non ambulatory client. There are five client bedrooms, two staff bedrooms, and one bedroom is being used as an office.

At 10:10 am LPA Haley began the tour of the facility. LPA observed all required postings at the entrance of the facility. There is a screening station set up equipped with a temperature thermometer, hand sanitizer, and surgical mask. LPA Haley was screened before entering the facility.

The kitchen was clean and well organized. All knives and sharp objects are locked in a cabinet drawer and inaccessible to residents. The facility has a two day supply of perishable food items, a seven day supply of non perishable food items, and a variety of fruit available for the clients in care. All hazardous chemicals were locked in a cabinet right outside the kitchen. LPA Haley observed a fire extinguisher that was fully charged in the kitchen.

The garage was clean, organized and walkways were free of tripping hazards. LPA observed an a variety of food items and an emergency supply of water and food. LPA observed emergency bags and emergency kits prepared and ready to go for each client in care. There's an emergency supply of PPE supplied in the garage. LPA Haley observed an additional fire extinguisher in the garage that was fully charged.