Facility Evaluation Report

01/12/2023 12:00 PM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility to conduct their scheduled pre-licensing inspection. Prior to initiating the annual inspection LPA completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95 mask, gloves. LPA met with Licensee Ashley Phelps, and administrators Tamra Leak, and Lauren Leak, and administrative assistant Tiffany England and explained the purpose of the visit.

LPA toured the facility inside and out. The inside of the facility was observed to be generally in good condition and repair. The facility has received fire clearance for four (4) clients. The facility has four (4) bedrooms which all may be used for non-ambulatory clients. The facility has two (2) bathrooms which are in good condition and ready for use. There is one (1) bathroom and bedroom that will be used as a staff room/office that will be remodelled before clients move into the facility. Client and staff files will be stored in this locked room.

Adjacent to the staff room is the laundry area. The laundry room is currently being re-tiled and the new washer and dryer are currently in storage, and will be re-installed after the tile has been installed in the laundry room. This will be completed before clients move in. The laundry room, staff room/office are inaccessible to clients.

To ensure social distancing during meals the licensee will have 2 clients sit at the breakfast bar and 2 clients sit at a table that is in the living room. LPA observed these furnishings in place. LPA observed 4 easy chairs and one couch in the common area.

Client room #4 has one step down and currently no hand rail. Licensee has the hand rail in the bedroom and states it will be installed before clients are moved into the facility.