Facility Evaluation Report

Licensing Program Analyst (LPA) Cheryl Goodrich conducted an unannounced annual required visit on 6/13/2023 at 1:09PM LPA was granted entry and met with Tyrone Carter who was informed of the purpose of the visit. At the time of the visit there was (3) staff and (4) clients present.

The facility is a two story home with (4) bedrooms and (3) bathrooms for clients. The clients served are adults between the ages of 18-59. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted staff and client interviews. LPA observed the following:

Infection Control: The LPA observed the hand washing stations in the facility restrooms. LPA observed gloves 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. LPA observed a 30 day supply of PPE at the facility.

Physical Plant: LPA observed the client bedrooms. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. LPA observed the facility outdoor furniture and the garage, as the furniture was removed due to rainy weather, according to administrator. Laundry room was observed to be unlocked and was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to clients.

Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods.

Care & Supervision / Administration: Adequate staff are present for the supervision of clients. Emergency exiting plans, telephone numbers and personal rights were found posted in the facility. The listed administrator, possesses a current administrator's certificate.