Facility Evaluation Report

Licensing Program Analyst L. Padgett (LPA), conducted an unannounced annual visit to the facility. LPA stated the purpose of the visit and Care giver, Zanae Robinson granted entry to this LPA. House Manger, Niesha Payton (HM) was present and accompanied this LPA during the facility tour. Administrator (AD) Adonica Vickers was called and arrived shortly thereafter.

At the time of the visit, LPA observed 3 residents in the facility.

LPA observed that the kitchen was well maintained, with working lights and well maintained appliances. The knives were kept in a locked drawer. The kitchen counters and sink are free from debris. LPA observed a trash bin with the lid. LPA observed that refrigerator are well maintained and clean. LPA observed a 2 day perishable food supply. The kitchen cabinets are clean, organized, and had 7 days of non-perishable food. No expired food was observed. Fire extinguisher purchased on 7/12/23 with the correct pressure gauge as indicated on the meter.

Caregiver opened the locked medication cabinet for inspection. LPA observed medication cabinet contained medication bins for each resident, labeled and organized.

First aid kit was inspected and found to contain the required items.

LPA observed the dining room is well lit and clean. Dining table has seating for 3. The dining room has a sliding glass door that was clean and not obstructed.

In the living room, LPA observed television to be in a secure place. LPA observed sofa which can accommodate at least 5 people. The furniture was clean and in good condition.