Facility Evaluation Report

On 12/19/2025 at 9:50am, Licensing Program Analyst (LPA) L. Hall, arrived unannounced to conduct an annual required inspection. LPA met with Nicole Easton, Program Manager, and explained the reason for the visit. The facility's fire clearance was approved for 38 ambulatory and 10 non-ambulatory.

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 73 degrees Fahrenheit for clients in care. Grab bars 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 111.4 degrees F. 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. Sharp objects were locked and inaccessible to clients. Fire extinguisher last serviced 11/5/2025. Fire drill last conducted 9/16/2025. First aid kit was checked and is complete.

LPA reviewed eight (8) staff and five (5) clients' records.