Facility Evaluation Report

An unannounced Annual visit was conducted on the date & times indicated above by Licensing Program Analyst (LPA) K. Mcclurg. LPA met with Licensee/Administrator (L/A) Debra Kenyon.

Physical plant toured. 2 day supply of perishable & 7 day supply of Non perishable food on the premises. Dining & living rooms have required seating & lighting. Client bedrooms toured. Bedrooms have required furnishings & lighting. Bathroom used by client(s) toured. Bathroom appeared to be clean with no unpleasant odors. Locked storage observed for cleaning products & other hazardous items making them inaccessible to clients. Smoke detectors operational. Interior & exterior passageways observed to be clear with no obstructions.

Facility appeared to be clean with no unpleasant odors. Clients well groomed.

Medications observed to be locked & to be organized.

Client & staff records to be reviewed at a future date.

Exit interview held with L/A. Report provided.