Facility Evaluation Report

Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted, granted entry into the facility by Staff and explained the reason for the visit.

During the visit LPA toured the facility with Chief Operations Officer Sean Kelly and Case Manager Matt Bocks. Facility is a 3 bedroom and 4 bathrooms three story home. There are 5 Clients in care. LPA observed Department postings. LPA toured all Clients rooms, all rooms where within regulations. All restrooms observed contained working water basin, soap, toilet paper, and paper towels. Clients were observed relaxing in the Living rooms watching TV. Facility has 3 fire extinguishers which are fully charged. Facility has supply of PPE. Facility has refrigerator and pantry with ample food supply. LPA observed facility has emergency food and water supply. Facility has Evacuation Plan and Personal Rights posted. Facility has a secured location for client medication and files. Facility has 30 days supply of medications for clients. LPA reviewed clients files during visit. Clients emergency contact information and Physicians reports are current.

No deficiencies noted during todays visit. An exit interview was conducted with Chief Operations Officer and a copy of report was left at facility.