Facility Evaluation Report

Licensing Program Analyst (LPA) Becky Mann conducted an unannounced required 1-year visit to the facility. LPA met with Rose Nobbs, Licensee and discussed the purpose of the visit. The facility is an Adult Residential Facility (ARF). Licensed capacity of 6 with a current census of 4. LPA conducted an overall inspection of the facility, which included, but was not limited to the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: beds, mattresses, night stands, storage space, chairs and sufficient lighting. Bathrooms are clean and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The hot water temperature tested between 105 and 108 degrees Fahrenheit. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients. All sharps are locked. There was a designated area for client/staff files. Overall, the facility is clean, in good repair, and operating in a safe condition for clients in care.

Food Service: Non-perishable and perishable food supply is sufficient for number of clients. Facility has a variety of food available for clients. Dishes, cups, and utensils are stored properly.

Care & Supervision: Facility has sufficient care staff coverage 24 hours a day, 7 days a week.