Facility Evaluation Report

On 05/26/2022, Licensing Program Analyst (LPA) R. Campbell and Licensing Program Manager L. King originally visited but due to technical difficulty, Licensing Program Analysts (LPA's) R. Campbell and R. Wallace returned for follow up visit based on observed deficiencies. LPA's met with Licensee and wife and explained the purpose of today’s inspection. LPA's were allowed entry into the facility that is licensed to serve a total capacity of 4 non-ambulatory clients. All staff were wearing masks and COVID protocol was completed upon arrival. Stations at front entry is accessible to residents and guests to avoid spread of COVID.

LPA's toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. There are no bodies of water observed. A comfortable temperature for clients is maintained at 73 degrees Fahrenheit. LPA's observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 109.2 degree Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. There is a minimum of 7-day nonperishable and 2-day perishables foods. LPA's observed client medications in individual labeled baskets.

Smoke detectors and carbon monoxide were in operating condition during inspection. Fire extinguisher was last serviced on May 26, 2022 LPA's collected mitigation plan from Administrator. LPA's reviewed mitigation plan with Administrator and provided guidance. First aid kit was observed to be complete. Fire drill was last conducted on 04/22/22.