Facility Evaluation Report

Licensing Program Analysts (LPAs), Armando Perez and Robert Campbell made an unannounced visit to the facility for the purpose of conducting a required annual inspection. The LPAs was granted entry by staff to conduct the inspection and met with Administrator, Rolanda Henderson. The LPAs informed the Administrator of the purpose for the visit. The inspection included the following:

LPAs toured the facility inside and outside. LPAs observed the facility to be clean and in good repair. The facility consists of four (4) resident bedrooms, four (4) bathrooms, a kitchen and dinning area, a living room area, a garage and laundry room, and a patio and yard with sufficient seating and space for activities. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured 113 degrees F. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. The LIC 610, emergency disaster plan is maintained. There are no firearms at this home and no bodies of water observed.

LPA began review of client records. three (3) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, TB test results, IPP assessments, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA observed client records to be available and complete.