Facility Evaluation Report

On 11/3/2025 at 9:45 AM, Licensing Program Analyst (LPA) Y. Brown arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Adaminah Victoria, Administrator and explained the purpose of the visit.

The facility’s fire clearance was approved for sixteen (16) all ambulatory only. LPA toured facility inside and out. LPA observed a quiet room, library, and kitchen/dining room for the residents' use. LPA toured the kitchen and observed a sufficient two (2) day supply of perishable and seven (7) day supply of non-perishable foods. LPA observed disinfectants and cleaning supplies were kept locked. LPA observed that all outside passageways and exits were free of obstructions. LPA observed auditory signals leading to outside areas were in working order.

LPA observed that all centrally stored medications were locked and centrally stored medications were properly labeled and physician orders were maintained in the file. LPA observed that a comfortable temperature of 71 degrees Fahrenheit was maintained throughout the facility. LPA observed first aid kits were maintained and that the fire extinguishers were last serviced on 10/2025. Water temperature measured at 105.2 degrees Fahrenheit. Clients have updated needs and services plans.