Facility Evaluation Report

On 8/25/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required inspection visit. LPA arrived, introduced self, and allowed entrance by House Manager, . Licensee/Administrator, Adonica Vickers contacted by telephone and arrived during inspection visit.

Facility tour conducted with House Manager, Neisha Payton. Facility is a 3 bedroom, 2 bathroom home, currently all bedrooms are private. Facility observed to be clean, odor free, and a comfortable temperature. Residents observed to be engaged with staff and one relaxing in their bedroom. All common areas of facility observed to have adequate seating available for residents in care. Facility tour began in resident bedrooms, all bedrooms observed to have adequate lighting and required furnishings. Resident bathrooms toured, showers observed to have grab bars and shower chairs available. Water temperature measured at 108 degrees F. Kitchen toured, all knives observed to be locked and secured in kitchen drawer. Facility observed to have a 2-day supply of perishable and a 7-day supply perishable food available. All food in the refrigerator observed to be properly stored and labeled. Medication observed to be locked and secured in hallway cabinet. Medication reviewed and observed to have original labels and to be administered as prescribed.

Fire extinguisher present and observed to have a service date of 07/23/2025. Carbon monoxide and smoke detectors observed operational during inspection. Last fire drill conducted 07/29/2025 according to facility records.

Outside of facility toured. All exits open free of obstruction. Backyard has seating and large umbrella for shade.

No deficiencies cited during inspection. Exit interview conducted and a copy of report provided to Licensee for facility records.