Facility Evaluation Report

Licensing Program Analyst (LPA) Jeannette Olson conducted an announced pre-licensing visit.

Applicant and Administrator Young Won took LPA on a plant tour of the inside and outside of the facility and the following is noted:

Medications: There is a locked cupboard in the Kitchen for the medication.

Physical Plant: The facility is a 5 bedroom, 2 bathroom home with a kitchen, dining room, living room, laundry room and garage. Facility is clean, sanitary and in good repair. Protective devices are in place. Indoor areas, outdoor porch, play area and backyard are free of obstructions. The facility does not have any pools or bodies of water. The facility does not store or allow firearms or ammunition to be stored at the facility. Any dangerous products/tools will be stored in locked garage, locked cupboards in the laundry room or kitchen. All windows screens are clean and in good repair. Facility temperature is between 68-85 degrees. Fireplace has a secured screen making it inaccessible to clients in care. Smoke and carbon monoxide detectors were tested and operating properly throughout the facility.

Bedrooms: The facility has four resident bedrooms and one bath for single occupancy. Bedrooms have beds for each resident with mattress, mattress pads, box springs and pillows which are clean and in good repair. Mattresses and pillows are flame-retardant. The rooms have dressers and plenty of closet space for residents. The rooms are furnished with chairs and proper lighting with lamps are in each room for clients.

Supplies: The facility has a sufficient supply of resident personal hygiene supplies, clean linens, towels and wash clothes. The supply of linens is sufficient for changing weekly or more if needed.

Operational Requirements: The facility has a fire clearance, plan of operation, shaded outdoor area and bond for handling clients cash resources. The water in the kitchen was 114.8 degrees and the water in the clients bathroom was 117.5 degrees which meets regulation requirement.