Facility Evaluation Report

Licensing Program Analyst (LPA) Jesse Gardner arrived and conducted an unannounced required annual visit and met with Licensee Vana Fowler. LPA Gardner conducted a walk through of the facility with Ms. Fowler. The facility is licensed for a capacity of 4 residents.

The facility is a two story home which has 4 bedrooms, 3 bathrooms, 3 living rooms, a kitchen/dining room, and a garage. Bathrooms were clean. Toilets, water faucets and lighting worked properly. Water temperature was between 108 degrees and 118 degrees. Hallways and passageways were clear. 2 day Perishable and 7 day non-perishable food supply was checked and was stocked at time of visit. Smoke detectors were checked and are operational.

LPA Gardner toured the backyard and observed it to be fully fenced, with amble shade for the residents via a patio cover attached to the house. The backyard gate did not have a lock on it, and was able to be used as egress for the residents. The fire extinguisher was observed to be fully charged, and secured to the wall.

The kitchen had cups, plates, bowls, utensils, and pots and pans. Sharp knives are kept in a locked closet with cleaning supplies and resident medication.

During the inspection, LPA Gardner discussed infection control practices and procedures with Ms. Fowler. An exit interview was conducted and a copy of this report was reviewed with and provided to Ms. Fowler.