Facility Evaluation Report

On 1/13/2025 at 8:15 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct a Case Management inspection as part of the monitoring plan from Non-compliance Conference held on November 07, 2024 with Licensee Ericka Tillis. Upon arrival, the LPA informed the Licensee of the reason for visit.

The LPA inspected the interior and exterior of the facility, including the kitchens upstairs and downstairs, the dining room areas, community living spaces, restrooms, resident rooms, storage areas, the garage, and the grounds of the facility.

There was more than the required minimum of 2 days of perishable and 7 days of nonperishable food at the facility. The hot water temperature was measured in the upstairs kitchen at 137.3 degrees Fahrenheit (Type-A Citation). The upstairs dining room temperature was measured at 70.0 degrees Fahrenheit. The fire extinguisher was last serviced on 10/30/2023 (Type-B Citation).

LPA observed a total of 3 staff members and 9 residents at the facility.