Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria conducted an announced visit to complete the Pre-licensing inspection. LPA met with Administrator Jeanette Phillips. The fire clearance was approved on 4/19/2023 for four (4) nonambulatory clients.

The facility has four (4) bedrooms, two (2) bathrooms, entry room, kitchen, dining room, living room, family room with fireplace, laundry room, and attached garage. LPA toured the interior and exterior areas of the facility. The following were inspected:

Client Bedrooms : All bedrooms have the required bedding and furniture, such as, clean mattresses/linen, nightstands, dressers, chairs, and lighting.

Client Bathrooms : The bathroom appliances were operating in safe and sanitary condition.

Kitchen and Dining Areas : Utensils and dishware are in good repair and ready for client use. Kitchen appliances and counter top were free of debris and in good repair. The water temperature was measured at 105.5 degrees F. The refrigerator was measured at 37 degrees F and the freezer was measured at 0 degrees F. There was a locked and secured cabinet where medication will be stored and locked drawer where sharps will be stored. Locked cabinet underneath kitchen sink will store chemicals. There was non-perishable food inside the pantry and perishable food inside the refrigerator/freezer.

Staff Office: There is a safely locked and secured filing cabinet where clients and staff files are going to be stored in the sectioned office inside the family room.

Common Sitting Areas : There is adequate seating in the common areas. The facility has a supply of activities for the clients.