Facility Evaluation Report

On 06/03/2025 at 3:05 p.m., Licensing Program Analyst (LPA) Evelin Rios arrived at the facility listed above to conduct an unannounced annual inspection using the Inspection Tool. LPA rang the door bell and nobody answered. LPA contacted the Administrator, Yolanda Pickens by telephone and informed her LPA was at the facility and explained the reason for the visit. Staff opened the gate for LPA and granted access. LPA met with administrator shortly after. One (01) client and three (03) staff were in the facility.

At approximately, 03:25 p.m. LPA Rios toured the physical plant of the facility, and the following was observed.

Upon entry LPA observed a desk with a binder for visitor check-ins, hand sanitizer, gloves, and mask for clients, staff and visitors. The home was observed clean and clear of clutter.

Kitchen: Appliances and fixtures were observed to be functional. LPA observed a sufficient amount of 2-day perishable and 7-day non-perishable supply of food, properly stored.

Common Areas : These includes two (02) living areas, two (02) dining area, a garage used as recreation room, and art room.The furniture was observed in good repair. The dining table and chairs set the capacity of the facility. Hallways and passageways are free of obstruction. LPA observed five (05) fire extinguishers through out the facility fully charged with service date 02/10/2025. At 5:24 p.m., LPA observed the administrator test a dual smoke and carbon monoxide detector. Detectors are hardwired and interconnected to other detectors located through out the facility. Detectors were observed to be functioning properly. Fire doors leading to the bedrooms automatically closed. (Continue to LIC809-C)