Facility Evaluation Report

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct a pre-licensing inspection. LPA met with Licensee/Administrator Julie Malitskiy during today's visit. Currently there are 6 clients residing within the facility.

Facility was inspected both indoors and outdoors. LPA inspected 6 client bedrooms, 3 bathrooms, 1 staff room, common living areas, garage and kitchen. Outdoor area is free from hazardous debris. Outdoor exits are clear and accessible. First aid kit was present in the facility. Centrally stored medications will be locked in the hallway closet. The facility has adequate lighting throughout. Water temperature was observed at 120 degrees F. LPA inspected client bedrooms and the bedroom had appropriate furnishings, chair, adequate lighting and storage. Bathrooms are clean, sanitary, and in good repair. Smoke detectors and carbon monoxide detectors were operational. Fire clearance was granted on 10/30/2023 for 6 non-ambulatory clients. Kitchen is clean, sanitary, and in good repair. A working telephone has been set up for client use.

This report will be forwarded to the centralized application unit for continued processing. COMP III was completed during today's inspection.

Exit interview and copy of report provided.