Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conduct an unannounced visit to complete the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Licensee Vivien Reudas and explained the nature of the visit. The facility currently has no residents.

The facility is a single story home with one staff bedroom, four resident bedrooms, one staff bathroom, one resident bathroom, living room, kitchen, backyard and attached two car garage. The licensee currently resides at the residence. The kitchen is free of debris and appears to be clean. LPA observed knives to be locked in a drawer next to the stove making them inaccessible to residents. LPA observed a two day perishable and seven day non-perishable food supply. LPA observed the garage to be locked made inaccessible to residents. LPA observed toxins to be locked in the garage making them inaccessible to residents. LPA observed the required departmental postings in the facility. LPA inspected the locked centrally stored medication cabinet to be located in the kitchen making it inaccessible to residents. LPA observed the resident bedroom to have the required components and furnishings. LPA observed the resident bathroom to have all the required components. LPA observed the water to be at 115.8 degrees Fahrenheit in the resident bathroom. LPA observed that the facility has a clean supply of linens for resident use. LPA observed the backyard to be free of obstructions and debris. LPA observed a shaded seating area in the backyard for resident use.

LPA tested the fire and carbon monoxide detectors and they were found to be operational. LPA observed a fire extinguisher in the kitchen that was charged and had a service date of July 23, 2024. LPA observed activities for client enjoyment in the living room. LPA reviewed administrators certificate to have an expiration date of January 1, 2027. All staff present have been background cleared and are associated to the facility.