Facility Evaluation Report

At 8:00am on 03/20/2024, Licensing Program Analyst (LPA) Jeffries, arrived unannounced at the facility to conduct the annual facility inspection. LPA met with Primary Staff Trey Correy (S1) announced who he was and the reason for the visit.

S1 and LPA conducted a full tour of the facility. The facility is a three bedroom two ana half bathroom, living room, kitchen and dinning area. The laundry room is locked and that is where the chemicals, medication are kept. There is a patio with shade pergola in the back yard for client to use. There are two client bedrooms that are dual occupancy and one master bedroom for the live-in staff. The clients share a full bathroom and a half bathroom and the other bathroom is the on-suite bathroom in the master bedroom designated as staff bedroom and bathroom. LPA noted that the toilet seat was off and broken in bathrooms 1 (Technical violation (TV) below, new toiled ordered). LPA noted communal washcloth in bathroom 1 (Type B violation cited below). LPA tested and noted the facility water temperature to be within regulation range of 105*-120* (f). LPA observed a first aide kit and fire extinguisher also in the laundry room. LPA noted that smoke alarms are located in each room throughout the facility and the carbon monoxide detectors in the hallway all tested and functioning as normal. LPA observed at least two days of perishable foods and more than seven days of non-perishable foods on hand at this facility. LPA observed a 30 day supply of PPE on hand at the facility. LPA noted that the facility telephone was not operational (Type B violations cited below.

LPA noted that the facility was new, clean and in good repair other than the toilet in bathroom 1.. LPA noted that all doors and exits were free of obstructions. LPA noted that that there were two Type B and one TV violations during the facility walking tour.

S1 and LPA conducted a full review of the annual control tools modules. LPA noted that there were two Type B violations as noted above and a TV as noted above, as a result of the full annual control module of the annual inspection.

Exit interview, report signed, and report provided.