Facility Evaluation Report

On April 6, 2026, Licensing Program Analyst (LPA) Kayla Adkison, arrived at the facility unannounced to conduct a Required Annual Inspection. LPA met with Pomali Thitphaneth, Resident Service Director (RSD) and Cliff Keene, Executive Director (ED), and explained the purpose of the visit. During the inspection, there were 26 residents and 5 (five) staff providing direct care. LPA observed residents watching movies, visiting with family members, and participating in craft projects.

LPA, RSD and ED toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to: common areas, five (5) resident bedrooms and bathrooms, courtyard, kitchen, and storage areas. All areas observed were found to be clean and in good repair. LPA observed each bedroom to have the required furnishings and working lights. LPA observed the facility to be at a comfortable temperature. There were various activities available for client recreation. LPA observed a calendar of activities posted for residents to view, as well as printed copies for resident rooms.

Facility has a 2-day perishable and a 7-day non-perishable amount of food. All residents requiring a special diet are posted for kitchen staff to review. LPA observed all medications, sharps, and cleaning supplies to be locked away and inaccessible to clients in care. LPA reviewed Medication Administration Records (MARs) and found them to be current and accurate. LPA observed a complete First Aid kit.

LPA observed (3) three fire extinguishers which were last inspected in February 2026. Smoke detectors and carbon monoxide detectors were observed and found to be in working condition. The facility is conducting emergency disaster drills monthly with the last drill being documented in March 2026.