Facility Evaluation Report

Licensing Program Analyst (LPA) Janette Romero and Licensing Program Manager (LPM) Joel Esquivel conducted an unannounced annual required visit on 6/1/2023 at 9:25 a.m. LPM and LPA were granted entry and met with Caregiver Anthony Smith who was informed of the purpose of the visit. Administrator Esther Prothro arrived at 9:50 a.m. At the time of the visit there were (1) staff and (1) client present.

The facility is made up of a two-story home with (3) bedrooms and (2) bathrooms with an attached garage. No pools or firearms are being kept at the facility. The clients served are adults between the ages of 18-59. LPM and LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted a staff interview. LPM and LPA observed the following:

Infection Control: LPM and LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPM and LPA reviewed staff records and found that all staff had infection control training. First aid kit was complete. LPM and LPA observed a soiled hygiene kit under the restroom sink assigned to Client 2 (C2).

Physical Plant: LPM and LPA observed the client bedrooms. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture in good repair were present. The outdoor area was observed to be free of hazards. LPM and LPA observed outdoor furniture and shaded area for clients. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to clients in a locked closet. The smoke detector and carbon monoxide were operational, and the hot water temperature measured 112F.