Facility Evaluation Report

On October 22, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced annual inspection. LPA met with Administrator, Dee Lete and explained the purpose of the visit.

LPA toured the facility inside and outside including all of client rooms, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. There are three client rooms; all of which are shared rooms. LPA observed all rooms to be in good repair with all required furniture. LPA observed two full bathrooms on the first floor equipped with non-skid mats and odor-free. LPA observed the basement. The basement was observed to have a communal area, a full bathroom, and a storage area.

Living room and dining room was observed to be clean, free from tripping hazards and odor-free. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA toured kitchen and observed two day perishable and seven day non-perishables. Sharps, chemicals and medications were observed to be locked an inaccessible to clients. Carbon monoxide monitor is working properly. All fire extinguishers have been checked and current as of October 2025. Emergency drills are logged and done quarterly.

LPA reviewed 5 client records and 5 staff records. Client records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.

No deficiencies are cited during the visit. Report is reviewed Administrator and a copy is provided.