Facility Evaluation Report

At 8:00am, on 6/18/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Administrator Amy Hicks, announced who he was and the reason for the visit.

Administrator and LPA conducted a full tour of the facility. This facility is a single-story residential home with three dual occupancy client bedrooms and two full bathrooms (one is en-suite and one is for public use). There is a living room, a kitchen with dining space and office area. Access to the laundry area and garage is through locked doors for client safety. LPA noted that the backyard and the front yard both have seating and shade for clients and visitors. LPA noted fresh fruit and snacks in the kitchen for clients to enjoy freely. The facility has battery operated smoke detectors in each bedroom and hallway leading to bedrooms that are all working, the carbon monoxide detector is in the hallway and functioning normally. LPA observed fire extinguishers throughout the facility that were tagged current and in the green compression range, serviced on 10/28/2025. LPA tested facility hot water at 110.1°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 has no obstructions in hallways, doorways or exits. Medications are locked in a cabinet in the hallway. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records, finding no violations. Staff and client files are locked in the dining room. LPA conducted a staff and resident file review.

LPA and Administrator conducted a review of the annual care tool modules. There were no deficiencies cited at this time.

Exit interview conducted, report signed, and report provided to the Administrator.