Facility Evaluation Report

Licensing Program Analyst (LPA) Bianca Wolcott arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by Shemeika Leachman (House Manager) and granted entry. Administrator Pebbles Nakielski arrived shortly after. LPA began inspection with introduction, visit purpose and provided the facility caregiver with LPA identification and business card. The facility has 4 client bedrooms, 2 bathrooms, kitchen, dining area, living room, laundry room, attached garage, and backyard. LPA completed a walkthrough of the facility and review of records.

Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The home is maintained at a comfortable temperature for the residents. Lighting is sufficient for safety and comfort. Water temperature measured 119 within range. LPA observed a locked cabinet under kitchen sink and locked box in pantry with sharps.

LPA observed a locked laundry room with cleaning supplies and chemicals.

Fire extinguishers are charged, mounted. All outdoor and indoor passageways are free of obstruction. Night lights and emergency lighting is present. A locked area is provided for medications. There is a telephone working at this location. The LIC 610E, emergency disaster plan is maintained. Emergency Drills and Fire Drills are being maintained. The facility has a current written definitive plan of operation. The facility is maintained in conformity with the regulations adopted by the state fire marshal. P&I was accessed and verified by Administrator. Refrigerator is 40 degrees, and freezer is -0 degrees.