Facility Evaluation Report

On 11/25/2025, Licensing Program Analyst (LPA) M Vega arrived to the facility unannounced to conduct the required Annual Inspection Visit. LPA was greeted by Administrator, stated the purpose of the visit and was allowed entry into the facility. Administrator - Michelle Simpson provided a tour of the facility inside and out.

LPA observed 6 classrooms and a library the time of visit. Facility was observed to be from any passageway obstruction / fire hazards. Facility temperature was 75 degrees F. Bathrooms were toured and observed to clean and free from odor, have operational lights, running water. Trash cans with tight fighting lids and hand washing postings were observed.

Facility does disperse medications. Medications were observed to be locked in a medication room located in a conference room. Cleaning supplies were observed to be locked in the janitor's closet. There are no clients with a Restricted Health conditions in the facility. First aid kit was observed and contained all required items.

Smoker detectors were observed to be hard wired. Fire Extinguishers were observed throughout the facility with a service date of 03/11/2025. A sample of client files were reviewed and observed to have Admission agreement, Needs and Service Plan, and annual Medical Assessment. A sample of staff files were also reviewed. Staff files were observed to have 8 hours of documented training and current First Aid/CPR certifications. Staff present at today’s visit were fingerprinted clear and associated to the facility. Emergency Disaster Drill logs were observed for all staff. Last drill was an Fire drill was conducted 07/2025