Facility Evaluation Report

Licensing Program Manager,(LPM) Jazmond Harris and Licensing Program Analyst (LPA), Jacqueline Shaw Ross conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA and LPM met with Administrator, Shalana Carter 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, two staff and four clients were present. LPM Harris conducted staff and client interviews; one client refused to be interviewed.

The home is one story and has four bedrooms, two bathrooms, and a staff office. The facility appears clean and free of odors. Staff present have criminal record clearances and are appropriately associated to the facility. Client bedrooms are clean and appropriately furnished. All smoke and carbon monoxide detectors were tested and found operable. Food supplies are sufficient. Emergency food and water was stored in the garage. Hot water was measured in the client's bathroom and deemed safe. LPA observed all toxic chemicals and other hazards secured and inaccessible to clients. Medications are centrally stored in the kitchen cabinet. Furniture in the home is in good repair. Outdoor space is free of hazards. LPM discussed with Administrator to ensure all repairs to the facility are conducted in a reasonable amount of time. LPM discussed with Administrator submitting serious incident reports to regional office via fax, mail, or email.

LPM and LPA inspected the staff and client records. Staff files had the required documentation including First Aid Certifications and training documents. P&I monies are kept in the staff office and are maintained separately from facility funds. LPA inspected medications and medications appear to be dispensed appropriately according to the physician's orders. The facility is completing emergency drills as needed. LPM and LPA discussed with Administrator that the facility fees are due. Administrator indicated that the dues were paid during the visit. The Administrator advised that the facility is in the process of changing phone service providers. Administrator stated all clients are able to use their cell phones and additional cellular phones while the phone service is being restored. Administrator indicated that client's authorized representatives have the additional contact numbers as well. During the inspection, no deficiencies were observed.

An exit interview was conducted and a copy of the report and LIC 811 was provided.