Facility Evaluation Report

Licensing Program Analyst (LPA) Jacqueline Shaw Ross arrived at the facility to conduct an annual review. LPA was greeted at the door by House Manager, Maria Shriver. Administrator, William Lewis arrived shortly. LPA explained the purpose of the visit. The facility is approved for five (5) non-ambulatory clients with one (1) bedridden room. There were six (6) clients and three (3) staff present at the facility. LPA Shaw Ross conducted staff and client interviews and toured the facility inside and out.

The facility is a one story, four(4) bedroom, two(2) bathroom home. All bedrooms were observed to be clean and appropriately furnished. Bathrooms observed appeared to be clean and contained required items. The water temperature was tested and measured at 105 degrees Fahrenheit. Indoor temperature was 70 degrees. The smoke and carbon monoxide alarms were tested and found operable. LPA Shaw Ross observed one fully charged fire extinguisher. The kitchen was observed to be fully stocked with a sufficient amount of food and supplies. Emergency food and water was stored in the garage. The knives were stored in a locked drawer in the kitchen. P&I funds are kept locked in a cabinet in the garage and are kept separate from facility funds. Chemicals and hazardous items are also stored in a locked cabinet in the garage. There are no firearms and/or ammunition present or stored in the facility. The backyard was observed to be fully fenced with plenty of shade and is free of hazards. There were no pools of bodies of water observed in the facility's premises.

LPA Shaw Ross reviewed facility files and records. Background clearances and training were observed to be current. Administrator's license is current and expires 10/28/2024. Client records were reviewed and observed to be complete and current. P&I funds were inspected and no co-mingling of funds were observed.