Facility Evaluation Report

On 6/30/25 at 2:00 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with License Tracy Mitchell and explained the purpose of the visit. The Administrator, Sarena Williams, was not available for the inspection.

LPA toured the upstairs floor of the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The downstairs floor of the facility is under remodel and not accessible to the Licensee. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 70-degree Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 115.8 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene items was available for clients. There is a minimum of one-week supply of non-perishables and 2-day perishables food supply.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 5/30/25. First aid kit was observed to be complete. Fire drill was last conducted on 6/01/25.

LPA reviewed 1 client record and 2 staff records, and all were complete. A sample of 1 client’s medication were reviewed.

No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided.