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 two level structure with a total of 8 bedrooms, of which 6 are for client’s and two are for staff. There are four restrooms, of which 2 are for client’s and two are for staff. There’s a living room space, a dining space, a backyard area with plenty of shaded areas and activities for the clients to enjoy, 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. There are locked cabinets with hygiene supplies in the main bathroom. Kitchen: All burners were operational on the gas stove, including the warmer in the middle of the stove. Sharps are kept locked inside a locked toolbox. Food Service: A supply of perishable and non-perishable food items that meet regulation requirements was observed. An additional supply of perishable food items was observed in additional refrigerators in the garage.

Client & Staff Files : Client and staff files are located in a locked cabinets in the office area.

File Review: 3 of 6 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 behind the staff office area.

Medication Review: 3 of 6 client medications were reviewed during the visit. Medication is being administered as prescribed.