Facility Evaluation Report

On 07/03/2023 at approximately 12:30 pm, Licensing Program Analysts (LPA) Renee Campbell and Victoria Brown arrived unannounced to the facility to conduct a Post-Licensing visit and met with Maxima Martin, Administrator. LPA's stated the purpose of the visit. Facility has 5 residents. Licensee Maxima Martin has four staff members (in addition to herself) who work for the facility. LPA Campbell requested 2 of 4 staff files and 3 of 5 resident files for review.

LPA's toured the facility physical plant to include the kitchen,living rooms, bathrooms, dining rooms and outside area.

LPA's observed perishables to last two days and non-perishables to last 7 days. Knives and cleaning supplies were locked. All rooms were found to contain a bed, night table and lamp and were well lit for the comfort and safety of the residents. The thermostat was set at a comfortable temperature of 73 degrees Fahrenheit and water temperature was measured at 106 degrees Fahrenheit. The fire extinguisher was last inspected on 02/09/23. A first aid kit was found to be complete and medicines were separated by client names.

The backyard area was observed to have a shaded seating area. No bodies of water were found. All staff had CPR/1st Aid Training. All indoor passageways were free of obstruction. All staff are associated to the facility.

The following forms to be updated and submitted to CCL by 07/10/2023:

LIC 308 Designation of Administrative Responsibility