Facility Evaluation Report

03/27/2025 12:15 PM Licensing Program Analysts (LPAs) Kayla Adkison and Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPAs met with Colleen Lawson, administrator, and explained the purpose of the visit. Administrator certificate is current.

LPAs and administrator toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to four (4) resident rooms, common areas, four (4) bathrooms, kitchen, storage areas and back yard. Staff and resident files were reviewed. Medication is kept in a locked cabinet.

The common area was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. The bathrooms were clean and in good repair. The kitchen was clean and in good repair. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) two-day perishable supply of food.

The facility was observed to be at a comfortable temperature. First aid kit fully stocked and ready for emergency use. Fire extinguisher fully charged. Smoke detectors are all operational. Hot water temperature measured within required Title 22 regulations of 105 degrees F and 120 degrees F. There is a schedule of activities planned for the clients. All required postings are displayed within the facility.

No pools/bodies of water are on the premises. No firearms are on premises. The last disaster drill was conducted and documented on 3-8-25, the facility has been conducting drills every month.

No deficiencies were observed during the inspection.

Exit interview conducted, a copy of the report, and appeal rights provided to administrator.