Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced required annual visit to the above facility. LPA arrived at 01:00PM and met with facility staff. Administrator Danshelle Day arrived at 01:42PM. LPA met with administrator Danshelle Day and explained the reason for the visit.

At 01:44PM, LPA conducted a tour of the physical plant areas inside and outside to ensure there are no health and safety hazards. This home is vendor by Tri-Counties Regional Center as a level 4i home.

BEDROOMS : There are 6 (six) client bedrooms; 4 (four) rooms on the permanent side and two rooms on the crisis side. All rooms were clean, appropriately furnished and had sufficient lighting.

RESTROOMS: There are four (4) total bathrooms at the home. One (1) is designated as a staff bathroom and is located next to the administrator's office. The medications are stored in locked cabinets inside the locked staff bathroom. One (1) bathroom is located on the crisis side of the facility. Two additional bathrooms are located on the permanent side. All bathrooms were clean and the client bathrooms had non-skid materials and grab bars. Hot water tested at 110.0 degrees Fahrenheit. Cleaning supplies are stored in a locked closet next to the laundry room.

COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, common seating area and dining room furniture was observed to be in good condition. The LPA observed the required postings in the common hallway. Fire extinguishers were observed to be fully charged and are scheduled for inspection on 10/29/2024. Smoke and carbon monoxide alarms were tested at 03:22PM and functioned properly. The garage was locked. There was an emergency food supply and emergency water inside the house. Additional food supplies were observed in the garage and laundry room. The backyard has a covered outdoor area equipped with furniture for client use. There were no bodies of water noted.