Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Phyllis Edwards, Licensee at 1:00 PM.

The facility is a single- story building with four bedrooms and one client bathroom and one private bathroom with an approved fire clearance for two ambulatory and one non-ambulatory client . The facility currently has a census of three clients in care.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors and testing hot water temperature in one of one client bathroom . At 1:30 PM the hot water temperature measured was 125.6 degrees Fahrenheit. Licensee was asked to lower the water heater temperature at time of visit. S moke and carbon monoxide detectors were operational . All client bedrooms had the required furnishings and clean linens. The fire extinguisher was charged and was serviced on October 30, 2024. The facility’s last fire drill was conducted on July 25, 2024 .

The attached garage had additional emergency supplies and a washer and dryer. LPA observed a shaded seating area in the backyard and both exterior gates were self-latching. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. Sharps and toxins were secured with a lock. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed.

At 2:00 PM clients returned from Adult Day Program (ADP) and greeted LPA. LPA interviewed alert clients regarding their quality of care and spoke to staff present regarding care provided. Two clients watched television in the living room and one client chose to be in his bedroom.