Facility Evaluation Report

On 7/22/24 Licensing Program Analyst (LPA) Valerie Flores and Licensing Program Manager (LPM) Rikesha Stamps conducted an unannounced one (1) year required visit. LPA Flores and LPM Stamps were granted entry by staff member Shalayia Johnson , who was informed of the purpose of the visit. The Licensee/Administrator Alexis Parker was on site during the time of visit. At the time of the visit there were two (2) staff and two (2) residents present. All staff present were observed to have obtained proper fingerprint clearance and were associated to the facility. LPA observed the following during today's visit:

LPA Flores and LPM Stamps conducted a tour of the facility with staff Shalayia. Indoor and outdoor passageways were free of obstructions. There were no bodies of water observed. The facility meets the requirements of the two (2) day supply of perishable foods and seven (7) day supply of non-perishable foods. LPA Flores and LPM Stamps observed a additional refrigerators in the garage with perishable foods along with emergency food and water. Resident bedrooms had the required bedding, furniture, and lighting. Resident bathrooms had grab bars and non-skid mats in the showers. Disinfectants and cleaning solutions were secured in the locked laundry room The combined smoke and carbon monoxide detectors were tested and were observed to be operable. LPA Flores measured the water temperature at 118 Fahrenheit just meeting within the departments requirements . Medications were observed to be centrally stored in a locked cabinet located in the kitchen and inaccessible to the clients. Medication records were reviewed for clients in care, no discrepancies observed. LPA Flores and LPM Stamps reviewed random staff files and all resident files and found that Client 1 (C1) was missing a physicians report on file. Administrator file was reviewed and included a criminal record clearance and updated CPI training. Resident files reviewed included completed admission agreements. Facility sketch, License and Emergency disaster plan information is posted in the living room near the kitchen. LPA confirmed with staff there are no firearms or ammunition on the premises.

During today's visit, LPA Flores issued a deficiency. An exit interview was conducted with Administrator, and a copy of this report, LIC809-D, and appeal rights was reviewed and provided to Licensee.