Facility Evaluation Report

On 7/27/26, Licensing Program Analyst (LPA) Kyle Wellington arrived unannounced to conduct an annual inspection. LPA was greeted and granted entry by Direct Support Professional (DSP), Dione Littles, who was informed of the purpose of the visit. The census at the facility is five (5) clients. There were two (2) staff and one (1) client at the facility during the visit. LPA received a staff roster and client roster from DSP. LPA toured the inside and outside of the facility with DSP. LPA conducted an observation and record review for the inspection.

Facility Overview: Facility is a one story house with four (4) client bedrooms, two (2) client bathrooms, kitchen, dining room, family room and attached garage. There are no pools, bodies of water or firearms at the facility. Facility has a fire clearance to serve five (5) non-ambulatory and one (1) bedridden adults.

Infection Control: LPA observed hand sanitizer and soap dispensers throughout the facility. Cleaning equipment and cleaning supplies were kept in the locked garage and available for regular facility maintenance. LPA reviewed the facility’s infection control plan which met the department’s requirements.

Physical Plant: LPA observed the inside and outside of the facility to be clean, safe and well kept. The floors, windows and doors were clean and well maintained. The family room and dining room furniture was in good repair. The residents’ bedrooms were neat, organized and contained the required bedding, lighting and furniture. Bathrooms were clean, tidy and had paper towels, soap, grab bars and non-slip floors in the showers. Extra linen and towels were kept in a closet in the hall. Laundry equipment appeared to be in good working condition. Laundry supplies were kept in the locked garage. The one (1) fire extinguisher was charged. LPA tested the smoke and carbon monoxide detectors and found them to be hard-wired and operational. The backyard was free of hazards and contained outdoor furniture and shaded area for clients.