Facility Evaluation Report

Licensing Program Analyst (LPA) Anna Bueno made an announced visit to the facility to conduct a pre-licensing inspection for an initial application. LPA Bueno identified herself to licensees Fritzroy and Camilla Campbell and informed them of the purpose of the visit.

The facility is has a pending application for an Adult Residential Facility. The facility has been granted a fire clearance on 07/25/2023 by Highland City Fire Prevention for a total capacity of four non-ambulatory clients.

The facility has a total of five bedrooms, four of which are clients', three bathrooms, kitchen, a living and family/activity area, dining room, an office area, and backyard. LPA and licensees toured the interior and exterior of the facility. The facility has no bodies of water. A covered patio allows for ample seating and outdoor activities. LPA observed that side gates were unlocked and free of obstruction. The facility had a working telephone. LPA observed a charged fire extinguisher while smoke alarms and carbon monoxide detectors were tested and found to be in working order. The facility keeps a complete first aid kit and manual. A locked centralized storage area for medications and client files was observed.

The following were observed of the physical plant:

Client Bedrooms: LPA observed all bedrooms to have the required bedding and furniture, such as, clean mattresses/linen, sufficient storage space, chairs, and lighting.

Client Bathrooms: LPA observed all bathrooms and fixtures are kept in sanitary conditions. LPA observed hygiene items for clients are kept locked. LPA observed night lights were maintained in the bath

Kitchen and Dining Room: LPA inspected the kitchen and found dishes, glasses, and utensils were in good working order. The dining table, kitchen countertop, appliances, and floors were free of debris. Cleaning supplies are secured and sharps are locked separately from other supplies. LPA observed appropriate food provisions. Sample menu is available for review.

Common (living/activity) areas: LPA observed adequate seating in the common areas. The facility had a supply of activities for the clients. Planned weekly activities was reviewed by LPA Bueno.