Facility Evaluation Report

On September 04, 2024, Licensing Program Analyst (LPA), Venus Mixson, made an unannounced visit to the facility for the purpose of conducting the Required Annual inspection, and met with Jessica Garrison, Direct Support Personal #2(DSP2), introduced herself and stated the purpose for the visit. The Facility File review was conducted in the office and additional forms were requested and reviewed on site.

Infection Control: LPA Mixson observed the hand washing stations in the facility restrooms. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan and found all required infection control measures. Additionally, staff took LPA's temp and logged it in.

PHYSICAL PLANT : Facility is licensed for four Adult Residents and is operating at two which is within the conditions and limitations of the license. Outdoor and indoor passageways are kept free of obstruction. No pool or body of water was observed on the property. According to staff, there are no known weapons kept in the home. Disinfectants, cleaning solutions, and poisons were inaccessible to residents in care. Temperature was within in regulations for this time of day and the season. There was sufficient lighting throughout the facility and the Hot water tested within regulations at 112. degrees F. Fire extinguisher located in kitchen area has proper inspection tag. The smoke and carbon monoxide alarms were in the green and last inspected on August 01, 2024, By the State Fire Marshall. The interior and exterior areas of the home were observed to be clean and organized.