Facility Evaluation Report

At approximately 12:20PM Licensing Program Analyst (LPA) Stevenson arrived to conduct an unannounced Annual Inspection and was greeted by licensee/administrator Maria Golitzen

Facility is not vendorized and has no clients.

Licensee reports not having current liability insurance and will purchase with the addition of her first client.

At approximately 12:45 PM LPA conducted a tour and inspection of the indoor and outdoor portions of the facility. All 4 client bedrooms are well appointed with the required furnishings and linens as per regulation. The facility provides hygiene items for the clients. Facility is stocked with extra PPE. The home was observed organized and at a comfortable temperature. Fire extinguisher was charged and current. The kitchen was clean and organized. Locking cabinets for centrally stored meds were observed. Locking drawers for sharps were observed. Emergency lights, smoke detectors and carbon monoxide detector were present and operational. Exits were observed to be unobstructed. The living room is homey and comfortable.

An example of planned activities is posted in living room.

The outside area has 1 (1) locked shed with closed paint and hardware. The facility has uncut green grass (technical advisory given)

Bedroom #2 was noted to have access from hallway, as well as, from nearby hallway of bedroom #3 which may represent a personal right/privacy risk (technical advisory given)

Bathroom #2 was observed to have an approximately 1.5" high threshold that may present a tripping hazard.(technical advisory given)

Three (3) steps down from kitchen to living room was observed which may present a tripping hazard (technical advisory given)