Facility Evaluation Report

On 09/26/24, Licensing Program Analysts (LPAs) Becky Mann and Melody Brown arrived unannounced to conduct the required comprehensive annual inspection to the facility. LPAs Mann and Brown met with Licensee/Administrator Yvonne Pierre and introduced selves and stated purpose of the visit.

The facility has five (5) bedrooms, three (3) bathrooms, kitchen, dining area, living room, family room, backyard, and attached garage. LPAs Mann and Brown completed a walk through of facility, review of records, medication audit.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees Fahrenheit. LPAs Mann and Brown inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPAs observed that there is no night light maintained in hallways and passages to nonprivate bathrooms. Deficiency will be issued. LPAs Mann and Brown inspected client bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 109 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, charged fire extinguisher and first aid kit wit First Aid book. LPAs observed one (1) bottle of bleach under sink, not locked and accessible to client in care. Deficiency will be issued. There was a designated storage space for client/staff files. Client medications was observed locked and inaccessible to client. However, LPAs observed one (1) bottle of Over-the-Counter (OTC) medicine of Staff #1 (S1) in the kitchen cabinet, not locked and accessible to client in care. Deficiency will be issued. There is no firearms, ammunition, swimming pool or bodies of water in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care.