Facility Evaluation Report

Licensing Program Analyst arrived unannounced to the facility at 1/14/2025 to conduct an annual visit, LPA met with administrator Kimberly Bishop, The facility is licensed for 5 male ambulatory adults aged 18-59, the current census is 3.

Physical plant was inspected, including but not limited to the kitchen, bedrooms, bathrooms, storage areas, common areas, exterior and evacuation route. Facility traffic areas are well lit. Second floor and stairs, LPA pointed out some vacuumable bits on the floors.

kitchen has an adequade 2 days perishable, 7 days non-perishable food supply. there is lockable storage for the sharps, toxics, and medications. First aid kit has required items, Fire extinguishers are dated 1/14/2025. The smoke/co alarm is functional.

Bedrooms, have required furniture and furnishings, including mattress encasements. The door to a residents room has some punch holes in it, administrator provided that a work order is being resolved to repair the door. LPA is asking for a picture of the door being repaired by end of day 1/19/2025 to be sent to the LPA, 619-323-4509. Technical violation was issued.

Bathrooms have functional hardware, the sink water temperature was measured between 105-120*F. The Drain in the sink is a little slow, LPA gave guidance to get some drain cleaner.