Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre and Brandon Lopez made an unannounced visit to conduct the required 1 year annual visit. LPAs were greeted and granted entry by staff. LPAs met with Administrator Jennifer Devore and explained the reason for the visit. Facility is a 2 story home with, 3 bedrooms, 3 bathrooms, living room, kitchen, dining room, staff room, staff office, activity room, laundry room and a 3 car garage. Facility is licensed for 6 ambulatory clients. LPAs and Administrator toured the facility. LPAs observed the See Something Say Something sign (PUB) by the front door. LPAs observed the fire place in the living room is screened. LPAs observed a 72 hour supply of emergency food and water. The sliding door in the living room does not have a sliding screen door. Games and puzzles are stored in the cabinet underneath the staircase. LPAs observed a 2 day perishable and 7 day non perishable food supply in the kitchen. The five burner gas stove top lights unassisted. LPAs and Administrator toured the backyard. No bodies of waters observed. The exit gate on the north side of the house is operational. There is a table with an umbrella with chairs for clients to sit outside. No obstacles or hazards were observed in the backyard. LPAs and Administrator inspected the garage. The garage is kept locked and used for storage. LPAs and Administrator toured the second floor. LPAs observed an emergency evacuation chair at the top of the staircase. LPAs observed medication and sharp objects are kept locked in the staff office. All three client rooms had the required furnishing and bed linens. The bedroom downstairs, which has a bathroom, is missing a window screen in the bathroom. All three bathrooms are clean and operational. Hot water measured 115.8 degrees Fahrenheit in all three bathrooms. LPAs observed the activity room on the second floor has a large table with chairs, couches and chairs for clients to sit at. LPAs observed books, games, and puzzles in the activity room. LPAs observed two windows in the activity room do not have screens. All the fire extinguishers on the first and second floor are fully charged. Smoke detectors/carbon monoxide detectors tested operational. The last fire drill was conducted September, 12, 2024. LPAs reviewed 2 staff files. No discrepancies observed. All staff had the required training, including first aid training. All staff present at the facility are background cleared and associated to the facility. LPAs reviewed 3 client files and medication. No discrepancies observed. LPAs consulted with the Administrator regarding reporting requirements.