Facility Evaluation Report

On September 15, 2025, Licensing Program Analyst (LPA), Venus Mixson, made an unannounced visit to the facility for the purpose of conducting the Annual inspection, and met with Administrator, Mikeeda Sansberry, and stated the purpose for the visit. The Facility File review was conducted in the Regional office and additional forms were requested and reviewed on site.

PHYSICAL PLANT : Facility is licensed for four Adult Residents and is operating at three which is within the conditions and limitations of the license. Outdoor and indoor passageways are kept free of obstruction. No pool or body of water was observed on the property. Disinfectants, cleaning solutions, and poisons were inaccessible to residents in care. Temperature was within in regulations for this time of day and the season. There was sufficient lighting throughout the facility and the Hot water tested within regulations. Fire extinguishers located in kitchen area has proper inspection tag, and one fire extinguisher located in the facility van were both serviced. The smoke and carbon monoxide alarms were in the green. The interior and exterior areas of the home were observed to be clean and organized.

Infection Control: LPA Mixson observed the hand washing stations in the facility restrooms. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan and found all required infection control measures. Sign in sheet and temperature taken at front door.