Facility Evaluation Report

Licensing Program Analyst (LPA) Kevin Saborit-Guasch conducted an unannounced visit for the purpose of an annual inspection. LPA was greeted and granted entry by administrator Randall Bates after explaining the purpose of the visit.

The facility is an Adult Residential Facility licensed for six ambulatory clients. Currently there are three clients in care. The facility is a two-story home with four bedroom including the staff room on the upper level along with a shared bathroom. The living room, kitchen, laundry area and a half bath are located downstairs. There are one shared and one single bedroom occupied currently.

Facility appears clean, safe, and sanitary. All clients’ rooms had required elements, including bed, chair, closet space, and ample lighting. Facility had extra linens and hygiene supplies for all four clients. Hot water measured at 110 degrees Fahrenheit in both bathrooms. LPA observed the facility had a two-day supply of perishables and a seven-day supply of non-perishable food was available as required by regulations. LPA observed hallways and walkways were free of obstruction.

LPA observed the fire extinguishers on both levels are charged and have been maintained. Staff and LPA tested smoke and carbon monoxide detectors which were found to be operational. Cleaning products and sharp instruments are stored in a locked cabinet in the kitchen. Medication for each client is kept locked and secured in the downstairs bathroom. The backyard has one shaded seating area, and the exit gate is unlocked and unobstructed. No bodies of water observed. LPA reviewed all three clients’ files and medications as well as P&I records which were verified to correspond to the amount noted on the ledger.

LPAs reviewed three staff files. All files of staff and clients contained all required documentation. All current staff members are cleared and associated.