Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct this Required - 1 Year inspection. LPA was met by Stephanie Hodge, House Manager, who granted LPA access. Reggie Smith, Property Manager, arrived to conduct tour.. Administrator Cheryl Davidson (CD) was notified of the inspection. There are currently no residents at the facility. LPA toured the building and grounds. LPA observed all walkways and exits to be unobstructed.

The facility was a comfortable temperature and well lit. Water temperature in clients' bathrooms was within regulation between 105 to 120 degrees F. Toxins will be located and locked in laundry room. Medications will be centrally stored and locked in cabinets located in hallway once clients are acquired. Cash resources, medications, toiletries and client records are not available as the facility has not had any clients in care for several years. 1 of the 4 bedrooms is ready for clients, however the other bedrooms are currently being used for storage. The facility will require some cleaning and organization prior to receiving clients/residents. Staff records will need to be updated, and include recent trainings and first aid/cpr certification.

Smoke detectors located throughout the facility were tested and functional. Carbon monoxide detector was also tested and found to be in working order. 2 fire extinguishers were last charged on 8/29/2022.

Administrator Certificate 6039075735 for Cheryl Davidson, expires on 5/15/2024. Disaster drill will be conducted and documented every six months when clients are received.