Facility Evaluation Report

On 01/08/24, Licensing Program Analysts (LPA) L. Salazar and S. Hurt arrived to the facility unannounced to conduct the required Annual Inspection Visit. LPAs were greeted by Direct Care Staff , stated the purpose of the visit and were allowed entry into the facility.

Administrator provided a tour of the facility inside and out. LPAs observed 2 residents in care at the time of visit. Facility is a 7 bedroom / 3 bathroom home. 4 out of 6 residents bedrooms were observed to have the required lighting and furnishings and were free from odor and free from any passageway obstruction / fire hazards. 2 out of the 4 residents do not have all furnishings due to behaviors, which is stated in the Individual Performance Plan (IPP). Facility temperature was 70 degrees F.

Bathrooms were toured and observed to have operational lights and running water. 2 out of the 3 bathrooms have tile floor and walk in showers. A non-skid mat is not observed. Hot water temperature tested at 109 degrees F. Trash can with lid and hand washing postings were observed.

Medications were observed to be locked in a cabinet located in the kitchen. Cleaning supplies were observed to be locked in a closet in the hallway. Sharps are locked under the kitchen sink. LPA toured the kitchen observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. There are no residents with Restricted Health conditions in the facility. There are 3 residents with special diets.

Carbon monoxide and smoke detectors were tested and observed to be operational. Fire Extinguisher was observed with a service date of 11/03/23. First aid kit was observed and contained all required items. Internet devices and a working phone line were observed to be available for residents in care.

The exterior tour of back yard was conducted and found to be free from debris. A covered outdoor seating area was observed for residents in care. Side gate was self-closing and self-latching.