Facility Evaluation Report

Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced required annual visit. LPA was granted entrance and met with Kimberly Upchruch- Licensee.

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. All clients were at day program during the visit.

LPA inspected clients bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately.

LPA observed charged fire extinguishers, fire alarm system and carbon monoxide units are operable, hazardous items are kept inaccessible to residents. Hot water was tested reading 105- 120 degrees F.

Kitchen/Food Service: observed entire kitchen, food is stored properly and dishes are clean. There is a sufficient supply of perishable and non-perishable foods for the clients in care.

Care & Supervision : Facility has sufficient care staff.

Administration: Emergency exiting plans, telephone numbers and Ombudsman information are posted.

Record Review: LPA reviewed two (2) client files for admission agreements, updated physician reports, and needs and services plans the clients in care doesn't have any PNI funds.

LPA also reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings.