Facility Evaluation Report

At 8:00am, on 3/26/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Lead Staff Trey Correy, announced who he was and the reason for the visit.

Lead staff and LPA conducted a full tour of the facility. This facility is a single story residential home that has two dual occupancy client bedrooms, one full public bathroom, and a half public bathroom. There is a living room with dining space, a kitchen and office area. The living room has a self-contained fireplace. A staff bedroom and full bathroom is located behind the kitchen. There is a client accessible laundry room and a garage setup as an activity room for clients to freely use. All chemicals and laundry detergent are in locked storage. LPA noted that the backyard has seating and shade for clients and visitors. LPA noted fresh fruit and snacks in the kitchen for residents to enjoy freely. The facility has battery operated smoke detectors in each room that are all working, the carbon monoxide detector is in the hallway and functioning normally. LPA observed a fire extinguisher near the kitchen that was tagged current and in the green compression range, serviced on 1/22/2026. LPA tested facility hot water at 115.3*(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 and in good repair with no obstructions in hallways, doorways or exits. Medications are locked in individual lock boxes. 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 office area. LPA conducted a staff and resident file review.

LPA and lead staff 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 lead staff.