Facility Evaluation Report

07/17/2025 11:45 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with administrator Julie Wilcox and explained the purpose of the visit.

LPA Knight and the administrator toured the facility together to ensure the health and safety of clients in care. Areas toured include but are not limited to twelve (12) client rooms, common areas, three and one half (3.5) bathrooms, kitchen, storage areas, backyard and office.

Staff and resident files were reviewed. All employees requiring background checks are cleared. Administrator certificate is current. Medication was reviewed. Medication is locked in a cabinet. Cleaning supplies are locked in a cabinet.

The facility was observed to be at a comfortable temperature. Common area, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Bedding, linens, and towels for clients were observed and found to be clean and in good repair. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged and inspected. Smoke detectors are all operational, are hard wired to the local fire department and serviced by Safe Fire Integrated Protection. There are no pools/bodies of water are on premises. The facility conducted an emergency evacuation drill in June 2025 has been conducting fire drills monthly.

LPA requested copies of the following documents: LIC500 Personnel Report.

In the areas toured no immediate health, safety, or personal rights violations were observed. No deficiencies are being cited as a result of today’s inspection.

Exit interview conducted and copy of report was provided to administrator Julie Wilcox.