Facility Evaluation Report

At 8:00am on 03/19/2024, Licensing Program Analyst (LPA) Jeffries arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Licensee/Administrator, Deborah Starling, announced who he is and the reason for the visit.

Administrator and LAP conducted a full review of the annual care tools module. During the full care tools review LPA noted that there were no technical, violations or citations.

Licensee and LPA conducted a cursory tour of the facility. LPA noted that the facility is a six bedroom, two and a half bath room, with one room being double client occupancy, four rooms are single client occupancy and a full time staff occupies the sixth bedroom. The full time staff has a full bathroom in the master bedroom and the clients share the upstairs full bathroom and the downstairs half bathroom, LPA noted that the fire detectors are located throughout the facility and were tested and are in good working order. LPA noted that the carbon monoxide detector upstairs is also functioning properly. LPA observed at least two days supply of perishable and at least seven day supply of non-perishable foods on hand at the facility. LPA observed liquid soap and paper towels in the bathrooms. LPA observed at least a 30 day supply of PPE on hand at the facility. LPA noted that the medication cart is locked and located between the living room and dining room during time of visit. LPA noted that water temperature is within regulation parameters of 105*-120*(f). LPA noted that the facility is very clean and in good repair. No exits were obstructed and hazards were observed. LPA noted that there were no violations, technical, or citations issued on the full tour of the facility in this annual inspection.

Exit interview, report read, and report provided.