Facility Evaluation Report

Licensing Program Analyst (LPA), Jacqueline Shaw Ross conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA met with care provider Sherronda Davis and explained the nature of the visit and was granted entry into the facility. The facility was inspected inside and out. At the time of the visit, one (1) staff and one (1) client were present at the facility. LPA Shaw Ross conducted staff and client interviews.

The facility is a two story four bedroom, three bathroom home. The facility appears clean and free of odors. Client bedrooms are clean and appropriately furnished. Food supplies are sufficient. LPA observed all toxic chemicals and other hazards secured and inaccessible to clients. Medications are centrally stored in a locked cabinet in the kitchen. Furniture in the facility is in good repair. Outdoor space is free of hazards. LPA tested smoke alarms and smoke alarms were found operable. LPA tested hot water and the temperature level was appropriate. Emergency drills are conducted monthly. Fire extinguishers are fully charged. Client P&I was reviewed and is kept separate from facility funds.

LPA inspected the staff and client records. Staff files had the required First Aid Certifications and training documents however during the inspection LPA observed the following deficiencies:

LPA reviewed facility roster on Guardian and compared this to Employee files provided by the Licensee. Licensee informed LPA that three staff members started employment at this facility as of yesterday, 08/07/2023.