Facility Evaluation Report

At 1:15 PM Licensing Program Analyst (LPA) Araceli Canela arrived unannounced for the purpose of conducting an annual/required 1 year inspection. LPA met with staff Shawn Fashawn and Licensee, Hattie Strong and toured the facility and grounds. There are currently 3 clients residing at the facility.

This home is a two level home and all client bedrooms are located on the main level of the home. It is licensed for 6 clients, of which one can be non-ambulatory. The facility was clean, organized and at a comfortable temperature. All exits were unobstructed. Smoke detectors and carbon monoxide detectors are operational. Fire extinguisher was charged and serviced on, 7/29/2024. Hot water tested was within regulatory range of 105 degrees F and 120 degrees F. Facility grounds are free of any apparent hazards. Client bedrooms are clean and adequately furnished, and have items to reflect their personal interests. Medications are centrally stored an locked. There are perishable and nonperishable foods stored as required per regulation. Hygiene products and linens are sufficient supply. Clients attend Day Program or work and are included in family activities and attend church and prayer services regularly. LPA interacted with all 3 clients, for several minutes when they returned home from day program/job.

3 Client files were reviewed and found to be current, including admission agreement; health screening; personal rights. Staff records were reviewed and found to be current, including health screening; training, and first aid/cpr expires 8/2025. Administrator certificate expires 12/11/2024.

LPA went over age exception needed for 2 clients with, House Manager, Lisa Strong-Dodson; who expressed she was not sure if one was requested 10-12 years ago. LPA will review file and notify facility what is needed for the age exception, if one is not in file.