Facility Evaluation Report

An Annual visit was conducted on the date above by Licensing Program Analyst (LPA) K. McClurg. LPA met with Licensee/Administrator (L/A)-Debra Kenyon, greeted L/A, stated purpose of visit, & was allowed entry. Facility has gas fireplace with key inaccessible to clients.

Physical plant toured. Living & dining sufficiently furnished with adequate lighting. Kitchen appeared to be sufficiently clean. Sufficiently equipped with service ware, cook ware, & utensils. Sufficient supply of food on the premises. Residents bedroom sufficiently furnished with adequate lighting. Bathroom fixtures observed to appear & smell clean. Fixtures fully functional. Hot water measured at 116 degrees F.

Hazardous items stored in garage secured & inaccessible. Outside area free of debris. Sufficient outdoor seating with chairs & table available. Interior & external passageways clear & free of obstruction.

Smoke & carbon monoxide detectors operational. Date of last emergency disaster drill: 6/9/25. Fire extinguisher service date: 12/26/24.

Medications secure, & organized. Centrally Stored Medication & Destruction Record maintained. Client files reviewed. Staff files reviewed.

Exit interview conducted with L/A. Report provided.