Facility Evaluation Report

On 06/03/2025 at 12:15 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required Annual Inspection. LPA was greeted by a client at the entry and explained the purpose of the visit. Ida Moore, Care Staff contacted Frederick Williams, Administrator/Licensee (ADM) who was telephoned and arrived about 10 minutes later. Katrina Williams, co-administrator was present during the visit.

LPA observed clients relaxing throughout the facility. Masks, gloves, and hand sanitizer remain present at the facility. LPA and ADM toured the facility including, but not limited to common areas, bathrooms, bedrooms, kitchen, front yard and backyard. LPA observed mask, cough etiquette, social distancing and handwashing signs posted in the common area. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. Handwashing stations were equipped with handsoap, the hot water temperature in the shared residents' bathroom was measured at 106.9 degrees Fahrenheit (F.) and the facility's temperature was 71 F. Fire extinguisher was observed full and last inspected on 05/01/25. Smoke/Carbon Monoxide detectors were observed operational and first aid kit was complete.

The following forms are to be posted and/or updated on or before 06/17/25:

-LIC308 Designation of Administrative Responsibility

-An updated copy of Administrator Certificate(s)