Facility Evaluation Report

On this day, December 10, 2025, at 12:10 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with Fekerte Hyesus, administrator (ADM), and informed the reason for visit.

LPA toured the facility inside out with ADM. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, side yard and backyard. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked.

Facility has smoke and carbon monoxide detectors that were tested, and observed in operating condition during visit. Facility conducts disaster drills quarterly, and records showed last conducted September 18, 2025. Fire extinguishers were observed fully charge with tags showed serviced May 2, 2025. Hot water in the common bathroom was tested.

LPA reviewed 4 staff and 5 residents files. Medications checked, and compared with records and doctor's orders. Facility does not handle residents' cash resources.

LPA received copy of $3M liability insurance certificate on this day.