Facility Evaluation Report

On 3/12/2026 at 12:05pm, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an annual required inspection. LPA met with Cindy Thwaites-Smith, Administrative Assistant. Kaitlin Thammalangsy, Program Coordinator, arrived at 12:15pm and explained the reason for the visit. The facility's fire clearance was approved for 40 ambulatory and 10 non-ambulatory clients.

LPA inspected the facility which included but not limited to the bathrooms, kitchen, common areas, and the outside area of the facility. LPA observed the facility to be free of odor, clean and in good repair. Outdoor space is provided and is free of hazards. There is a comfortable room temperature of 72 degrees Fahrenheit for clients in care. Grab bars mats were observed in bathrooms and throughout the facility. Clients bring their own lunches and snacks to facility. The hot water temperature in the shared bathroom measured 117.8 degrees. All observed toilets and hand washing stations are maintained in a safe, sanitary, operating condition. There are no bodies of water or fire safety hazards observed. Carbon monoxide and smoke detectors found to be in working order. Centrally stored medications, toxins and sharp objects were locked and inaccessible to clients.

Fire extinguisher last serviced on 9/12/2025. Fire drill last conducted 2/23/2026. Emergency disaster plan last updated 7/21/2025. First aid kit was checked and is complete.