Facility Evaluation Report

Licensing Program Analyst (LPA) Victoria Chitgian arrived unannounced to conduct a visit to the facility for a required annual inspection. Facility is an Adult Residential Facility licensed for six (6) ambulatory clients. LPA met with Administrator Latisha Anderson at the facility.

LPA conducted a walk-through the facility's interior and exterior. The facility has a charged fire extinguisher, operating fire alarm systems, and carbon monoxide detectors. Outdoor and indoor passageways were kept free of obstruction. LPA toured the kitchen. Food was stored in a safe and healthful manner. The facility had a two (2) day supply of perishable food items and seven (7) day supply of nonperishable food items. The facility menu was available for review and included nutritious options. Sharps were stored in a secured area in the kitchen. LPA toured the client bedrooms. The client bedrooms had functional lighting and required furniture. The facility had a supply of additional linen and extra hygiene items for the clients. The facility had a complete first aid kit available and the last disaster drill was conducted on 6/18/2023. Cleaning supplies were locked away. Centrally stored medications were kept in a safe and locked cabinet. LPA toured the bathroom. Utilities were tested and operating as required. Hot water temperature was measured was found within required limits at 109 degrees Fahrenheit. LPA observed that the outside of the facility lacked a shaded area. Administrator stated to put in a work order for shade canopy to be installed. Technical Assistance issued. The facility does not have bodies of water.

LPA reviewed staff and client files. Staff files had the required documentation including a health screening report and first aid/CPR certification. Client files had the required documentation including an admission's agreement, updated physician's reports, and appraisal/needs & services plans. LPA inspected client medications. Medications were dispensed appropriately according to the physician's orders. Facility has secured each consumer’s personal property and cash resources. Sufficient staff are employed and present in the facility to meet the needs of the consumers in care. All required postings were visible in a common area.