Facility Evaluation Report

On 07/03/2025 at 10:30 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Interim Administrator Janelle Ubilas and explained the purpose of the visit.

LPA toured the facility including but not limited to residents’ rooms, bathrooms, multiple activity rooms, kitchen, common areas and courtyard. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 72 degrees Fahrenheit. The hot water temperature in a hallway bathroom was measured at 112 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care.

Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 07/20/2025. Emergency Disaster Plan was last posted on 04/11/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 03/30/2025.

LPA reviewed five (5) residents records and five (5) staff records, and all were complete. LPA also reviewed a sample of residents’ medications.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.