Facility Evaluation Report

Licensing Program Analyst (LPA) Victoria Chitgian arrived unannounced to the facility for a required annual inspection. Facility is an Adult Residential Facility licensed for four (4) ambulatory clients. LPA met with Administrator Cynthia Hanner. At the time of the visit, one client was present at the facility.

LPA toured the facility inside and outside. Outdoor and indoor passageways were kept free of obstruction. The facility has charged fire extinguishers, operating fire alarm systems, and carbon monoxide detectors. LPA toured the kitchen. 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.

LPA toured the client bedrooms. The client bedrooms had the required furniture and functional lighting. 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 4/10/2023. Cleaning supplies were stored under the sink and laundry areas. Centrally stored medications were kept in a safe and locked cabinet. LPA toured the client bathrooms. LPA measured the hot water temperature in the bathrooms and kitchen. The hot water temperature in the client bathroom measured 106 degrees Fahrenheit. The outside of the facility had a shaded area with a table and chairs. The facility does has a pool that is fenced and inaccessible to clients. LPA observed several cans of paint and primer, in the backyard. LPA advised the Administrator that hazardous substances need to be inaccessible to clients. Administrator proceeded to lock the paint in a storage shed. Technical Violation issued.

LPA reviewed staff and client files. Staff files had the required documentation including a health screening report and first aid/CPR certification. Administrator file contained required files and records. Client files had the required documentation including an admission's agreement, updated physician's reports, and appraisal/needs & services plans. Two client files lacked the required “No objection to placement”. Administrator will follow up with the Consumer Service Coordinator(CSC) during the next scheduled visit. Technical Assistance issued.