Facility Evaluation Report

On November 7th at 9:15 AM, Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Administrator Tammy Osby and was granted entry to the facility. At the time of the visit there was one (1) staff and no clients present. The facility is a four (4) bedroom, three (3), bathroom home, with a kitchen/dining area, living room, with an attached garage. The facility is an Adult Residential Facility (ARF) Licensed capacity is (3) current census (0). LPA was accompanied by Facility Administrator Tammy Osby, to conduct a general overall inspection, 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’s 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 sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be 110 degrees F The facility is equipped with operating connected 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 in care. There was a designated storage space for client/staff files. Medications will be kept inside staff office inaccessible to clients in care. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care.