Facility Evaluation Report

02/04/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. Facility has an emergency disaster plan as required. Facility has an infection control plan as required. There are currently five clients in care. During arrival, LPA was informed one client was present and four clients were attending day program. LPA was greeted by staff. Administrator, Lakeda Brown and Manager Program Operations, Kayla Hotchkiss arrived at approximately 11:00am.

LPA and staff member toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Facility has sufficient emergency supplies and PPE.

All rooms were furnished per regulation. All rooms were in good repair. Extra hygiene products and linens were available. Water temperature in sinks were measured and found to be within the range of 105 to 120 degrees F. Fire extinguishers were last inspected May 2025. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Chemicals and sharps were found to be inaccessible to clients in care. Facility has a swimming pool with a gated fence that was found to be locked. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record.

LPA conducted a review of three client records. All records had the required documentation. LPA reviewed client cash resources. LPA conducted review of three staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file.