Facility Evaluation Report

At 9:00am, on 10/02/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Licensed Psychiatric Technician (LPT) Britney Small, announced who he was and the reason for the visit. The Program Director Will Harris was contacted by phone, was unable to come to the facility, and gave permission for Britney to sign the report.

LPT and LPA conducted a full tour of the facility. This facility is a single story residential home that has four client bedrooms (two are dual occupancy), two full bathrooms (one is on-suite to one of the dual occupancy client bedrooms and one is for public/shared use), and there are two half bathrooms (one is public/shared use and the other for staff use only). There is a dining/activity room, living room with additional dining space and a fire place, a kitchen, a sun room and two office rooms. There was fresh fruit and snacks in the kitchen for clients to enjoy freely. The living room contains a fireplace that staff state is never used. Access to the laundry room and office rooms are through locked doors for client safety. The garage contains air hockey and billiards tables for client use. LPA noted that the backyard has seating and shade for clients and visitors. The backyard has an in ground pool and an above ground hot tub, both are covered for client safety. The facility has battery operated dual smoke/carbon monoxide detectors in each bedroom and hallways leading to bedrooms that are all working. LPA observed multiple fire extinguishers throughout the facility that were tagged current and in the green compression range, serviced on 04/03/2025. LPA tested facility hot water at 110*(f), within regulation temperatures 105*-120* (f). LPA observed at least 2 - days of perishable and at least 7 - days of nonperishable foods. LPA noted that the facility is clean with no obstructions in hallways, doorways or exits.