Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a pre-licensing inspection and was greeted by Roshawn Pearson, Administrator.

At approximately 10:30am LPA and Administrator toured the building and grounds. The facility was found to be clean and at a comfortable temperature.

Facility is a two story residence with four bedrooms upstairs, including master bedroom with full bathroom, one bedroom downstairs and two full bathrooms, dining room, family room, living room, and a large backyard. All resident rooms are furnished per regulation with a bed, lamp, dresser, chair and bedside table. Water temperature read at 108 degrees F which is within regulation of 105 & 120 degrees F.

Facility has sufficient items used for cooking and eating. Facility has a locked closet in the hallway with two [2] locking cabinets used for centrally stored medications. Cleaning supplies and toxins are locked in a cabinet the garage. Facility has areas inside and outside for visiting and activities.

Facility received an approved fire clearance dated August 1, 2023 that allows for up to five [5] ambulatory residents. LPA observed fire extinguishers missing service tags. Administrator advised that fire extinguishers were last inspected when fire clearance was granted. Admin to send pictures of tags once received or correspondence from Fairfield Fire Department indicating that the fire extinguishers were serviced at time of fire clearance inspection and no longer require tags indicating service. Roshawn Pearson Administrator Certificate 6063000735 expires 2/2/2025.