Facility Evaluation Report

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct the Annual Inspection. LPA met with and explained the reason for the visit with House Manager (HM) Denise Blunt.

During this visit, LPA toured the facility inside & out. Resident rooms and common areas were clean, in good repair and contained required equipment, furnishings and lighting. LPA observed required items in bathrooms which were clean with hot water as required. LPA observed hygiene items, paper products, towels, extra bedding, and linens which were available for use. The kitchen was clean, in good repair with necessary items and appliances. LPA observed required food supply, emergency food, water, supplies. Medications are centrally stored in a locked closet in the main hallway. Knives, cleaning/disinfecting supplies and chemicals are locked and stored separate from food. Doors and passageways are unobstructed throughout the facility including outdoors. First aid kit contained required items.

LPA walked the outdoors to find the grounds well-kept with clear walkways with sitting areas. Fire extinguishers were found to be charged and serviced on 4/17/26 by Fire System Solutions. Carbon Monoxide and Smoke alarms were working properly. LPA conducted resident and staff file reviews and a medication audit. Emergency Disaster and Infection Control procedures were reviewed during the inspection.

There were no citations during this inspection. An exit interview was conducted with Administrator (AD) Clinard Fletcher via phone. A copy of this signed report was provided.

LPA requested the following updated forms faxed to CCLD by4/28/2026 - Designation of Facility Responsibility (Lic308), Administrative Organization (Lic309), Affidavit Regarding Client/Resident Cash Resources (LIC 400), Surety Bond (Lic402) and Proof of current Liability Coverage.