Facility Evaluation Report

An unannounced Annual/year visit was conducted on the date & times indicated above by Licensing Program Analyst (LPA) K. Mcclurg. LPA met with Direct Support Professional (DSP) Jessie Guerrero. Acting Administrator (AA) Stacey Mclaughlin was not available @ time of visit however LPA was able to speak with AA over phone stating purpose of visit & AA authorizing DSP to sign for receipt of this report. AA was able to join LPA a during visit.

Physical plant toured. Dining & living rooms have required seating & lighting. Client bedrooms toured. Bedrooms havefurnishings & lighting. Bathroom used by client(s) toured. Bathroom appeared to be clean with no unpleasant odors. Hot water measured @ 116 degrees F. Interior & exterior passageways observed to be clear with no obstructions. Locked storage observed for cleaning products making them inaccessible to clients.

Facility appeared to be clean with no unpleasant odors. Interior & exterior passageways observed to be clear with no obstructions. Medications locked.

Client present @ time of visit appeared to be well groomed.

Exit interview held with AA. Report provided.