Facility Evaluation Report

Licensing Program Analysts (LPA) B. Miranda conducted an unannounced visit today for the facility’s annual inspection. LPA introduced themselves and was allowed entrance into the facility. LPA met with Cherly McCraw.

Facility is licensed for 120 clients and has a current census of 82. Water temperature was checked in a bathroom which read at 108.6 degrees Fahrenheit and 112.2 degrees Fahrenheit in another bathroom. Fire Extinguisher was serviced May 4, 2026 and is within the safety regulation period. Smoke and carbon monoxide detectors are in working order.

Facility is in the process of updating Administrator. Follow-up visit will be conducted before the end of the month regarding Administrator. Staff files were reviewed, are complete, and current. Resident files were reviewed, complete, and current. Facility provided a log for disaster drills that are conducted monthly. First aid kits on site and complete. LPA observed cleaning spray (Lysol) in unlocked cabinet with food and cleaning spray (Lysol) in an unlocked tub under the microwave in Room 10 (front entrance). LPA also observed scissors in unlocked cabinet, and cans of paint in the movie room. There is a locked storage area for medications.

LPA inspected the interior and the exterior of the facility including multiple classrooms and bathrooms. LPA observed the kitchen at the facility to have debris in the cabinets and expired chicken broth & corn meal. LPA observed opened cottage cheese which was not properly closed.