Facility Evaluation Report

This is an amended report. On 06/28/2023, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. Administrator, Esmeralda Gaither, was not available during today's visit. LPA met with Client Program Coordinator, Bethany Shoemake.

LPA toured inside and outside of the facility. No fire hazards or passageway obstructions were observed. LPA observed sufficient seating and adequate lighting throughout the facility. LPA toured the client restrooms which appeared clean and operational. Clients provide their own meals. LPA observed chemicals to be locked in a cabinet in the facility. Facility does not administer medications to clients. Fire extinguishers were last serviced on 06/05/2023.

Outside of facility was toured. There are no bodies of water on the premises. LPA will return at a later date to review client and staff records.

Exit interview conducted. A copy of this report was discussed and provided to Client Program Coordinator, Bethany Shoemake, whose signature on this form confirms receipt of this document.