Facility Evaluation Report

05/21/2025 09:30 AM Licensing Program Analyst Rebecca Knight conducted an unannounced case management visit and met with Executive Director (ED) Stacey Baxter. The purpose of the visit was for LPA to conduct an inspection of items that are required as a plan of correction related to a complaint that was completed on 04/17/2025.

LPA toured the facility with ED Baxter and RCC Don Daniel.

The following deficiencies were cited on the complaint and are required to be completed:

Trim back all trees from roof line. LPA inspected and found that tress and shrubs had been pruned and cut back away from the facility.

Ensure all screens have been replaced or repaired to ensure proper fit. LPA inspected and found all screens in place and in good condition.

Inspect all exterior doors and repair all gaps/openings at bottom of doors to prevent rodents from entering the facility. LPA inspected and found all exterior doors had thresholds and / or weather stripping in place and good condition.

All deficiencies related to this complaint have been fulfilled. LPA will issue POC clearance letter.

No deficiencies were issued as a result of today’s visit. A copy of the report was provided to administrator Stacey Baxter.