Facility Evaluation Report

07/01/2025 12:05 PM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with Program

Director Velvet Peterson and explained the purpose of the visit.

LPA Knight and Ms. Peterson toured the facility together to ensure the health and safety of clients in care. Areas toured include but are not limited to four (4) client rooms, common areas, two (2) bathrooms, kitchen, storage areas and back yard. Staff and resident files were reviewed. All employees requiring background checks are cleared. Administrator certificate is current.

Activities are scheduled according to the clients preferences. Bedding, linens, and towels for clients were observed and found to be clean and in good repair. There is an adequate supply of toiletries for the clients. Medication is locked in a cabinet. Medications were reviewed.

The facility was observed to be at a comfortable temperature. Hot water measured between 105 – 120 degrees F. Common area, kitchen and bathrooms were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. No pools/bodies of water are on premises. The facility has been conducting disaster drills and fire drills monthly.

LPA requested the following documents that need to be updated in the facility file:

A deficiency is being cited as a result of today’s inspection. One of four clients is missing a TB clearance.

Exit interview conducted and copy of report was provided to Program Director Velvet Peterson.