Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted a Required 1-year annual visit to this facility. Upon arrival LPA met with Licensee/Administrator Ramona (Mona) Keeton. Facility is fire cleared for two (2) Ambulatory clients. Facility is vendored by Tri-Counties Regional Center as a Level 3 home.

LPA Dulek and Licensee conducted a tour of the facility at 10:26AM and the following was observed:

Smoke and carbon monoxide (dual) detectors tested at 10:37AM and function properly. The fire extinguisher was fully charged and purchased on 10/19/2022. Emergency/Disaster record and all other required postings were observed on the wall near the entrance.

Kitchen: The kitchen appeared clean and the appliances and fixtures functional. Knives and sharps are locked. LPA observed a sufficient amount of two (2) day perishable food supply and seven (7) day non-perishable food supply and water.

Bedrooms: There are four (4) total bedrooms; 2 (two) bedrooms designated for clients' use and two (2) bedrooms for staff/family. All bedrooms were properly furnished and had appropriate bedding and linens.

Bathrooms: There are two bathrooms designated for clients' use. Both bathrooms were clean, properly supplied and had functional fixtures. Water temperature was measured in the downstairs bathroom and was 113.3 degrees Fahrenheit at 10:28AM, which is within the required temperature range.

Common Areas : These included the living room, family room, and dining areas. The common areas were clean and properly furnished. Properly labeled medications were locked in a closet in the foyer. Emergency/disaster supplies are stored in the locked laundry room. Cleaning supplies and laundry detergents are all kept in the locked laundry room inaccessible to clients and others.