Facility Evaluation Report

10/03/2023 11:20 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with administrator Chantelle Browning ( 6065849735 exp. 02/02/2025 ) and explained the purpose of the visit.

LPA Knight and the administrator toured the facility together to ensure the health and safety of clients in care. Areas toured include but are not limited to six (6) client rooms, common areas, three (3) bathrooms, kitchen, storage areas and back yard. Staff and resident files were reviewed. All employees requiring background checks are cleared. Administrator certificate is current.

Bedding, linens, and towels for clients were observed and found to be clean and in good repair. There is an adequate supply of toiletries for the clients. Medication is locked in a cabinet. There is a pool on the premises that is fenced and inaccessible to clients.

The facility was observed to be at a comfortable temperature.Common area was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged and were inspected. Smoke detectors are all operational. No firearms are on premises. The facility has been conducting fire drills monthly and emergency disaster drills every 6 months.

The following deficiencies were observed during the visit: LPA observed large broken mirror in downstairs bathroom that needs to be replaced. LPA observed broken freezer drawer inside of lower portion of refrigerator located in the kitchen which needs to be repaired. LPA observed wood burning stove in the common area of the facility that is accessible to clients.

Deficiencies are being cited as a result of today’s inspection and are included on the attached LIC809-D.

Exit interview conducted and copy of report was provided to administrator Chantelle Browning