Facility Evaluation Report

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Mark J Hurley House for the purpose of conducting a Required 1 year inspection. LPA was greeted at the door by DSP, Erin Essary. Licensee, Sherry Kimball arrived 1 hour later. Administrator arrived 1 hour and 15 minutes later.

LPA toured the facility. LPA observed the facility to be clean and at a comfortable temperature with all exits free from obstruction. Fire Extinguisher was found to be last charged on June 2023 at the time of the inspection. First Aid closet was fully stocked and appropriate during the inspection. All smoke detectors and carbon monoxide detectors were tested and found to be operational during the inspection. Water temperature in 1 of 1 clients bathrooms measured at 110 degrees and is within acceptable range of 105 to 120 degrees F. Staff Water temperature measured at 110 degrees in 1 of 1 staff bathroom, and is within acceptable range of 105 to 120 degrees F. There was sufficient perishable and non-perishable foods located in the kitchen. Food menu was observed during the inspection. There are special provisions made for individuals with special dietary needs. Medications were centrally stored and locked. Medication Orders were reviewed and found to be appropriate during the Required 1 year inspection. Cleaning products and other toxins are located in the garage that was locked and inaccessible to clients in care at the time of the inspection. There was a supply of Linens, cleaners, hygiene products and paper products available for clients. All bathrooms designated for clients in the common areas at the facility were supplied with individual paper towels and hand soap. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats. A tour of all clients bedrooms were conducted, and bedrooms inspected have lighting and appropriate furnishing. The Infection Control Plan was not discussed due to the facility not having the most updated Infection Control Plan (See LIC 9102-Technical Assistance) . LPA emailed the Infection Control Plan Template. LPA reviewed the Emergency Disaster Plan with the Administrator. Quarterly Disaster Drill document was reviewed and the facility conducted the Quarterly Disaster Drill on May 15, 2023 with all staff on duty. (Report continued on LIC 809C)