Facility Evaluation Report

Licensing Program Analyst (LPA) Jacqueline Shaw Ross arrived at the facility to conduct a required annual visit. LPA was greeted at the door by Licensee, Erica Graham-Bullock and the purpose of the visit was explained. The facility is approved for six (6) ambulatory individuals ages 18-59. Client groups served are developmentally disabled adults.

The facility is a two (2) story four (4) bedroom three (3) bathroom home. At the time of visit there was one(1) client home, one(1) client at a home visit, one (1) client at a doctor's appointment and three (3) clients at day program. One other staff was present in addition to the Licensee. LPA conducted one (1) staff and one (1) client interview.

A tour of the facility was conducted inside and out. There are two (2) clients to a bedroom. LPA observed the bedroom furniture to be in good condition. The kitchen was well-stocked, sharps and hazardous chemicals are kept locked away. Client bedrooms were clean and were observed to have the required furniture, bed linens, proper lighting, drawer/closet space to accommodate each resident. Client restrooms were checked and observed to be clean; toilets and water faucets worked properly, shower was free of mold/mildew, Non-skid mats were in place, hand washing signage was posted. LPA measured the water temperature in the restrooms and found the water, in the hall restroom, to be within regulatory limits, measuring at 118.2 degrees Fahrenheit. Client bath towels and toiletries were adequately stocked. Common areas were clean and all doorways were clear of obstructions inside the home. The kitchen was checked and observed to be within Title 22 regulations. There was an adequate supply of food for residents in care; a minimum of one week supply of non-perishable and a two day supply of perishable food.