Facility Evaluation Report

On 7/30/2025, Licensing Program Analyst (LPA) Perchui Milena Khurshudyan arrived at this facility to conduct a required Annual Inspection. Upon arrival LPA was greeted by the House Manager Cynthia Haynes, who granted access to the facility. LPA introduced herself by showing her badge and explained the reason for the visit. The facility Administrator Fely Powelson arrived shortly after. LPA Khurshudyan reviewed the required postings on a wall throughout the facility. The inspection tool was used to complete today's visit.

At 10:25am LPA, with the help of the house manager, began a physical plant tour of the facility and the following was observed: This is a two-story building with five (5) bedrooms, two and a half (2.5) bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for four (4) ambulatory clients. Facility is operating level 2 clients.

Kitchen: LPA observed a seven-day supply of non-perishable food, and a two-day supply of perishable food properly stored and labeled. No expired food was observed. Facility stores knives and sharps inside the locked kitchen cabinet. Emergency supply of food / water was stored inside the pantry. Food storage and preparation areas are clean and inaccessible to pests. LPA observed three (3) fire extinguishers located throughout the house. Fire extinguishers were last serviced on 7/14/2025. A weekly menu was also available for clients.

Bedrooms: There are five (5) bedrooms in the facility, of which four (4) are designated for clients use and one (1) bedroom for staff use. All bedrooms are for private use. LPA observed bedrooms to be properly furnished with beds, linens, night stands, chairs, drawers, closets, and adequate lighting. All bedrooms appeared organized and clean.