Facility Evaluation Report

On 05/01/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Annual Visit to the facility listed above. LPA met with Administrator, Shannon Hamling, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The facility is licensed to serve six (6) ambulatory, developmentally disabled adults, ages 18-59. Currently there are five (5) clients residing in the facility.

Physical Plant/Structure The facility is a single-story home in a residential neighborhood. The facility has six (6) bedrooms, staff room, office area, kitchen, living room, laundry room, and an attached garage. The backyard has a large table and chairs with an umbrella for client use. All walkways around the home were observed clean, clear, and free of obstructions, hazards, and debris. LPA did not observe any bodies of water on the premises.

Bedrooms LPA inspected all client bedrooms. LPA observed all rooms have the required furniture, including a bed, dresser, nightstand, chair, and storage space for personal belongings. LPA observed all beds have the required linens, including a mattress cover, fitted sheets, blankets, comforter, and pillows. LPA observed an