Facility Evaluation Report

On 01/10/24, Licensing Program Analyst (LPA) Michelle Echeverria conducted an unannounced POC visit in order to inspect for corrected deficiencies cited on 12/18/23. LPA introduced self and was granted entrance by Administrator, Roy Baysinger.

During today's visit, LPA made physical observations of the facility and reviewed records.

Deficiency 80075(k)(1) has been cleared. Licensee complied with the terms of the POC as LPA reviewed completed required training certificate and sign in sheet.

Deficiency 80088(b) has been cleared. Licensee submitted installed window screen pictures as proof to LPA's email. LPA observed the missing window screens replaced.

Deficiency 80072(a)(7) has been cleared. Licensee complied with the terms of the POC. LPA observed the lock removed from the right side gate and the exits cleared and not obstructed.

Deficiency 85064(b) has been cleared. Licensee complied with the terms of the POC. LPA reviewed the statement of understanding and the administrator's certificate.

Deficiency 80026(h)(1) has been cleared. Licensee complied with the terms of the POC. LPA reviewed the statement of understanding submitted.

Deficiency 80075(b) has been cleared. Licensee complied with the terms of the POC. LPA reviewed the required training and sign in sheet.

Deficiency 1565(d) has been cleared. Licensee complied with the terms of the POC. LPA reviewed the submitted Emergency Disaster Plan.

Deficiency 80070(c)(1) has been cleared. Licensee complied with the terms of the POC. LPA observed the records locked and inaccessible to clients. LPA also reviewed the statement of understanding submitted.

Deficiency 80061(b)(1)(E) has been cleared. Licensee complied with the terms of the POC. LPA reviewed the required training and sign in sheet.

Letters of Cleared POC were issued during today's visit. This report was reviewed with and a copy was provided to Roy Baysinger.