Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived at 8:15 am to conduct a 1-year annual visit to the facility above. LPA met with Administrator Estella Usher and explained the purpose of the visit.

A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit:

Physical Plant & Environmental Safety : All require postings were posted in the common area of the facility. The facility has 4 individual bedrooms and 2 individual bathrooms currently occupying 4 individuals. The facility is clean, safe, and sanitary. LPA was authorized to enter and inspect facility. The facility has smoke and carbon monoxide detectors, these alarms were tested and were working at time of visit. The lighting and lamps are sufficient for the use of the facility and for individual comfort. The showers have non-skid flooring. Toilet, hand washing and bathing facilities are operational. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to individuals locked in the garage. The facility has sufficient space inside and outside for activities and visiting.

Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance.

Personnel Records & Training: The facility employes 8 full time staff and 2 administrators. Staff records are kept confidential. LPA reviewed 5 staff files. Files reviewed and had current 1st Aid/CPR certifications, all other required documents were reviewed. Administrator Certificate expired 1/18/25, but Community Care Licensing shows renewal paperwork was submitted in November of 2024. Annual training was documented and complete.