Facility Evaluation Report

On 08/06/2024, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility

unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator,

Tamra Leak and explained the purpose of the visit.

LPA Boyles and Administrator toured facility together to ensure health and safety of residents in

care. LPA observed the facility to be clean, in good repair and odor-free. Areas toured include but are not limited to: common areas, resident bedrooms, garage, backyard, and common restrooms.

LPA observed all resident bedrooms to have all the required furnishings, windows with screens and

working lights. LPA observed each bathroom to have the necessary grab bars, non-skid flooring or

shower chair, trash can with lids and 20-second hand-washing poster. LPA observed the facility to

have the required 2-day perishable and a 7-day non-perishable amount of food and sharps to be

locked. Hot water temperature was measured at 114 F. LPA observed the medications to be locked

LPA observed one (1) fire extinguishers, fire detectors, and carbon monoxide detectors. LPA

observed a completed first aid kit ready for emergency use. LPA observed a completed emergency

disaster plan with the required emergency disaster drills conducted within the last 12 months.

In the areas toured no immediate health, safety, or personal rights violations were observed.

LPA reviewed a total of six (6) residents' files and four (4) staff files which contains all of the

No deficiencies are being cited as a result of today’s inspection.

Exit interview conducted and copy of report left at the facility.