Facility Evaluation Report

At 11:50am on 11/20/2023, Licensing Program Analysts (LPA) Mark Jeffries conducted an unannounced Required Annual visit. LPA met with Licensee, Holly Hobson. LPA announce who he is and the reason for the visit.

LPA toured facility with Licensee. There are 4 clients, two of which are married share one room. The other two client have single occupancy rooms. Clients share one bathroom. The Licensee has a bathroom just outside their room on the south side of the home. Medications locked in pantry/laundry room. This facility the Licensee has 5 children (ages 16, 11, 8, 5 and 1) that live at the home as well as the Licensee. The facility is maintained in conformance with state fire marshal regulations. Smoke detectors and carbon monoxide detectors functioning throughout the facility. Fire extinguisher was fully charged. Inside and outside passageways are free from obstruction. There are no bodies of water on the facility property. The facility temperature was 69 degrees F. Hot water temperature was check and within regulation range of 105*-120*(f). Residents’ rooms are appropriately furnished with adequate lighting. LPA observed more than two days of perishable and more than seven days of non-perishable food. A written disaster and mass casualty plan is readily available in dining/living room, Last emergency disaster drill was performed and documented on 10/14/2023. LPA noted that the facility exits and pathways were free and clear of obstacles and debit. LPA noted that no violations or citations were issued on the facility walk through.

Licensee and LPA reviewed all of the control tool modules. During the review LPA did not discover any technical, violations or citations. At this time there are no citations on this annual facility inspection.

Exit interview, report read, and report provided.