Facility Evaluation Report

On 02/11/2026, Licensing Program Analysts (LPAs) Jacqueline Shaw Ross and Venus Mixon, made an unannounced visit to the facility to conduct an annual review. LPAs were greeted by facility staff and granted entry. Executive Director Patricia Russell arrived shortly, and the purpose of the visit was explained. A tour of the facility was conducted inside and out.

Resident record review began- A total of six (6) client records were reviewed that included admission agreements, medical assessments and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. This facility is meeting documentation requirements.

Physical Plant and Safety of Environment/Operational Requirements- LPAs toured the facility inside and outside. The facility is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature was logged and tested within regulations. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals in a closet. All outdoor and indoor passageways are free of obstruction. A locked area is provided for medications and sharp objects. LPAs verified there is a telephone working at this location.

Food Service- Food supply was observed and meets the requirement of one week supply of nonperishable and 2 day supply of perishables food on hand. A menu is posted, foods are dated to assure safety. Food prep areas are clean and organized.

Review of Employee Records- LPAs reviewed employee records that included employee record for first aid certification, fingerprint clearance, personnel/job application, health screening and TB test results, criminal record statement, employee rights, training verification. CPR and requirements have been met.