Facility Evaluation Report

On 04/05/24, Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to conduct a quarterly visit. LPA met with Administrator and explained the purpose of the visit.

1. Conduct mandated reporting training in 6 months (Aug) then annually (Feb)

2. Conduct personal rights training by 03/01/24 then again in Aug then annually (Feb)

3. Administrator present 20 hrs week at each facility

4. Conduct Staff training occurs monthly regarding IPPs

Administrator states TSP has not contacted the facility as of yet. LIC 500 was emailed to LPA on 4/12/2024. Showing administrator hours present and home #1. Administrator will email LPA training records regarding IPP'S for months of February, March and April as they were available at the facility to review.

Exit interview conducted. Copy of report given .