Facility Evaluation Report

On 01/02/2025 Licensing Program Analyst (LPA) Jill Nakagawa conducted an inspection for the purpose of completing a pre-licensing evaluation.LPA was greeted by Licensee/Administrator Rachelle Youngblood who conducted a tour of the facility. The facility is a 3 bedroom 2.5 bathroom two-story house. Fire clearance is for three (3) ambulatory clients. LPA toured the entire premises which was found to be clean and orderly.

There were two (2) fire extinguishers last inspected 11/15/2024; mounted and charged. Smoke detectors tested and found to be in working order. Carbon monoxide detectors were located in the each hallway and found to be in working order. Medications, facility files, emergency supplies and sharps are stored in a locked closet near the kitchen. Toxins and cleaning supplies are secured in locked cabinets inside the garage.

LPA observed at least a 7 day supply of non-perishable food necessary for 3 clients. Non-perishables will be supplied prior to arrival of first client. There was an ample supply of dishes and cooking supplies.

Beds were made with appropriate linens. Furniture appeared safe and adequate. Hot water temperature was measured within regulation between 105 degrees F and 120 degrees F. There are cabinets located in the resident hallway that holds extra linens and towels.

Required postings such as Complaint poster, Rights to resident councils, client's rights are posted in the facility. Resident and staff records and other documentation will be secured in the medication closet.