Facility Evaluation Report

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced required annual inspection. LPA De Perio explained reason for visit and was greeted and granted entry by staff on duty (S1) Pelagic Sanger. For this visit, there are a total of 4 clients in care. Facility administrator (AD) Lori Distor was unable to be present during the time of visit. The PUB475 "See Something, Say Something" poster was observed to be in the hallway. LPA observed the Administrator's Certificate for Lori Cook, which expired on 11/20/23.

LPA De Perio toured the interior and exterior portions of the facility with S1. The facility is a single level structure and is licensed for 6 clients.

LPA observed that there are a total of 4 bedrooms, of which 1 is for staff and 2 private client rooms, and 1 shared client rooms. All bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards.

Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. LPA observed that there are two bathrooms in the facility, of which 1 is for staff and 1 is for clients. The restrooms were observed to be in good repair, toilets were operational. Water temperature in restrooms were measured at 109.1 degrees Fahrenheit.

Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to clients in care. Fire extinguisher was charged, mounted and located in the kitchen. LPA De Perio observed the emergency disaster and evacuation plan, which is posted in the hallway. Facility had back-up emergency food and water supply, located in the garage. LPA De Perio observed that First Aid Kit had all the required components. Medications and toxins were locked in a cabinet and is made inaccessible to clients.