Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with house manager, Margaret Henley. Administrator Katrina Williams arrived later. Annual fees are current. Contact information was reviewed. Required postings were observed.

LPA/staff initiated a tour of the facility at 9:30 AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. During visit, LPA/house manager observed garbage in the garage containing soda cans attracting insects and flies. Per house manager, clients do collect them for recycling purposes (technical advisory was issued). Clients rooms furnished per regulation. Bathrooms have required grab bars and mats . Water temperature in client's bathroom measured at 98.4 degrees F which are not within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Hallway closet containing cleaning supplies was locked. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked. Fire extinguisher was last inspected September, 2024. Smoke Detectors and Carbon Monoxide Detector were tested and operational during inspection. House manager was unable to provide documentation that a disaster drill was conducted within the last quarter. The facility does not handle their cash resources. During LPA's visit, the clients were observed at home. LPA inquired if they go to day programs/wellness centers and house manager stated that they don't want to participate in activities. LPA asked house manager for their activity calendar, but staff replied that they don't have one. Clients' physician report indicated that they are allowed to go out unassisted, so they do go out on their own. LPA/administrator discussed the importance to meet this requirement as stated per regulation and have requested them to perform an assessment of client's preferences, develop one activity calendar and follow it as stated per regulation (technical advisory issued). Continued on LIC809C...