Facility Evaluation Report

Licensing Program Analyst (LPA) Hansen arrived unannounced to conduct an annual inspection on 7/30/24 at approximately 8:00 am, and was met by Shawn Rooney, caregiver. The Administrator was contacted by staff to notify of LPA's arrival. The Administrator arrived shortly after. Currently there are four clients in care. All clients had been picked up by day program transportation.

At approximately 8:10 AM, LPA and Administrator toured the buildings and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be clear and unobstructed. Hot water checked, measured at 119.4 degrees F which is within regulations of between 105 degrees F and 120 degrees F. LPA observed a sufficient supply of food. The LPA observed a sufficient supply of cleaners, hygiene products, and paper products. Medications are locked up in backyard office in locked cabinet making them inaccessible to clients in care. Cleaners/toxins were locked, making them inaccessible to clients in care. LPA observed a sufficient supply of linen for client use. The facility has sufficient furnishings for clients use. The large backyard has a soundproof music room shed for client use; There is a pool located in the backyard which was observed locked. Facility has a small office in the backyard. The facility was clean and orderly, including the backyard area.

At approximately 9:10 AM, LPA reviewed 4 of 4 Client records and 4 of 4 Staff records, which were all found to be well organized, thorough, and contained the required documentation. First Aid and CPR certification were current in staff files reviewed. P&I monies were documented, secure and not commingled. Administrator’s Certificate for Margo Rooney was current with an expiration date of 3/31/2026.

Smoke alarms were working properly when checked during the inspection two of which are also carbon monoxide detectors. Fire extinguishers, three (3) were all serviced on 7/26/2024. Interviews conducted with staff. Disaster drills are conducted monthly with the last drill conducted 7/6/2024.