Facility Evaluation Report

On 09/29/2025 at 9:20 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director,Yolanda Harrell and explained the purpose of the visit.

LPA toured the facility including but not limited to 6 residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 71 degrees F. The average hot water temperature in 5 residents bathrooms were measured at 106 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 05/13/2025. Emergency Disaster Plan was last reviewed and posted on 12/31/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 08/20/2025.

LPA reviewed 5 residents records and 5 staff records, and all were complete. LPA also reviewed a sample of resident’s medications.

The following documents were reviewed during the visit: Personnel Report, Emergency Disaster Plan, and Current Administrator’s Certificate.

Exit interview conducted and a copy of this report provided.