Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria arrived at the facility unannounced to conduct a required Annual visit. LPA was greeted by Staff, Booker Fowler and granted entrance. LPA introduced self and stated the purpose of the visit. LPA observed that there are currently 3 clients in the facility and 1 in program. Administrator, David Adubi shortly arrived to assist with the inspection.

The facility has 4 bedrooms, 4 bathrooms, a kitchen, dining area, living room, loft, office, laundry room, garage and backyard. LPA completed a walk through of facility, review of records, medication and P&I audit.

Physical Plant: There are no obstructions to indoor and outdoor passageways. The facility is maintained at a 78 degrees Fahrenheit temperature. LPA inspected clients bedrooms; they are equipped with required furniture per regulations. An adequate supply of linens stored in the upstairs hallway cabinets. LPA inspected clients bathrooms; bathrooms were clean and appliances were operating appropriately. LPA tested the water temperature which tested at 109 degrees Fahrenheit. The facility is equipped with operating fire extinguishers, smoke alarms and carbon monoxide alarm. LPA observed that the facility did not have a carbon monoxide for the second floor. Deficiency issued. Posters such as; the personal rights, the CCL complaint poster, and disaster plans were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked. There was a designated locked storage space for clients/staff files, first aid kit and medication. The facility has a working telephone line. There are no pools, bodies of water, firearms or ammunition. LPA observed the entrance window blinds were broken, laminate floor in the family room uneven and broken on different connecting areas, a client's bedroom door with a fist size hole, another client's window blinds broken along with their closet door off the sliding rail. Deficiency issued.