Facility Evaluation Report

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct a annual/required visit. LPA met with House Manager Paul Koughn and explained the reason for the visit. Staff called Administrator Dolores Huddleston who could not make the visit today.

LPA Lund & House Manager Paul Koughn and toured/inspected the facility is a single-story building with 4 resident bedrooms and 3 bathrooms. Facility has common areas, dining area, outdoor area, laundry room and kitchen. All bedrooms did have furnishings for all 4 residents. All bathrooms have a working toilet, and wash basin. 2 bathrooms have a shower. Adequate supply of 7-day non-perishable and 2- day perishables stored in the kitchen and pantry. Smoke alarms and 2 Carbon monoxide detectors were observed operational. Fire extinguishers were charged and mounted. Toxins were locked and stored in the laundry room.

An exit interview was conducted with House Manager Paul Koughn and Ms. Huddleston over the phone and a copy of this report was provided at the time of visit.