Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced annual visit on 11/21/2025 at 9:00 am. LPA was greeted by the caregiver. The caregiver spoke to the Administrator via phone call. The facility is licensed for four ambulatory clients and there are four clients living in the facility. The caregiver confirmed the four residents were participating in a adult day program.

LPA Spaeth and the caregiver began the tour at 9:00 am until 9:30 am.

Common areas – The living room and family room contained comfortable seating. The dining room contained a dining room table and chairs.

Hallway closet- The kitchen closet was locked and contained the clients’ files, clients' medication, knives, PPE supplies, and first aid kit.

Kitchen – LPA observed a two day supply of perishable food and a seven day supply of non-perishable food. A fire extinguisher is located near the kitchen area and was operable. The kitchen was neat and clean.

Garage – The garage was locked and contained the cleaning solutions and additional PPE supplies.

Backyard – There is a shaded seating area in the backyard.