Facility Evaluation Report

Licensing Program Analyst (LPA) Bethany Mirlohi arrived to conduct a required annual inspection. LPA met with Administrator Charles Tinsley during today's inspection.

Administrator toured the facility with LPA. LPA inspected the interior and the exterior of the facility including the common living spaces, 4 client bedrooms and 2 bathrooms, kitchen, staff room and garage. Bathrooms and bedrooms were clean and in good repair. LPA toured the backyard and all exits are accessible and unlocked. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. Fire drills are being conducted and documented. LPA observed an adequate amount of linens and found the first aid kit to be complete.

LPA reviewed 2 of 3 client records and 2 staff records. LPA reviewed medications of two clients comparing with physician orders and MAR. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current first aid certificates and training is being conducted. LPA reviewed 2 clients P&I funds and receipts.

In the areas that were evaluated, no deficiencies were observed at the time of the visit.