Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA was granted entry into the facility by Caregiver, Lorria Shatto, and discussed the purpose of the visit. The facility is an Adult Residential facility with a license capacity of (4) and a current census (4). LPA conducted an overall inspection, which included, but was not limited to, the following:

Operation/Physical Plant: The facility has an infection control plan and emergency disaster plan on file for review. Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. Outdoor activity area is shaded and enclosed with two gates. The facility has a living room and family room which are sufficient for client activities. The facility is equipped with smoke/carbon monoxide alarms, laundry equipment, fully charged fire extinguishers, first aid kits with manual, telephone service, hallway night lights, and emergency flash lights/water. The facility has posted in a common area: Facility license, house rules, emergency telephone numbers and evacuation sketch. The facility has a sufficient supply of bed linen, towels, and hygiene products for clients in care. Client bedrooms were equipped with beds, bed linen, nightstands, chairs, and lighting. Client bathroom equipment was operating in safe and sanitary conditions. The hot water in client bathroom tested at 110 degrees F. Disinfectants, cleaning supplies, sharps were stored in locked laundry room.

Food Service: The facility’s two (2) dining areas and kitchen area were maintained clean. The facility has sufficient supply of cups, plates, and utensils for clients. The facility has sufficient non-perishable and perishable food for number of clients in care. The facility has a weekly menu available for review. **continued on LIC809C**