Facility Evaluation Report

On 12/12/2023, Licensing Program Analyst (LPA) Chinwe Nwogene arrived unannounced at the facility to conduct an annual inspection. LPA Nwogene was greeted and granted entry by Caregiver, Donna Mason who was informed of the purpose of visit. Donna called the Administrator, TyHeara Tyars and Lead Caregiver, Rachelle Nicholson who arrived at the facility shortly after. At the time of visit there was two #2 staff and one #1 residents present. LPA toured the facility inside and out with Donna Mason.

Kitchen; LPA toured the kitchen and observed kitchen to be clean. Food is stored in a safe and healthful manner. Utensils and dishware are sufficient for the census. The refrigerator and stove are in working order. Sharps are stored in a locked cabinet, available only to authorized individuals. Trash cans has tight-fitting lids. Dishwasher is used to clean and sanitize dishes. Fridge, freezer, and all need appliances were present and shown to be in working condition and clean.

Dining and Livingroom; LPA toured the dinning and Livingroom area. LPA observed area to be clean and furnitures in good condition. Temperature was 69 degrees Fahrenheit.

Hallway; LPA toured the hallway and observed hallway to be clean with no pathway obstruction. LPA inspected the fire extinguisher and found it to be in compliance and record to be up to date. Carbon monoxide & smoke detector were tested and functioning properly. LPA observed additional linens and hygiene items. LPA observed a locked closet by the hallway under the stairs, LPA requested to inspect the closet but was informed that no staff has access to the closet except the Licensee and the Licensee was out of town. LPA was unable to inspect the locked closet (citation will be issued).

Medication; Medications were labeled and stored inside of a locked medication cabinet and are distributed according to physician orders. The first aid kit was complete.