Facility Evaluation Report

On 06/27/2025 at 9:00 AM, Licensing Program Analyst (LPA) Y. Brown and Licensing Program Manager (LPM) Harpreet Humpal conducted an unannounced annual 1-year required inspection. LPA met with Administrator Marlyn Rotor and explained the purpose of the visit.

The administrator currently holds a certificate (#7002539740) that expires on 12/16/2025. The facility’s fire clearance was approved for six (6) residents, six (6) may be non-ambulatory. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage, and back yard. The facility consists of four (4) bedrooms and two (2) bathrooms. All indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature for clients is maintained at 73 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the clients.

Hot water temperature in the facilities kitchen was measured at 123.1 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for residents. Smoke detectors and carbon monoxide combination were in operating condition during visit. Fire extinguisher was last purchased on 7/26/2025. First aid kit was observed to be complete. LPA reviewed four (4) staff and four (4) client records. LPA reviewed a sample of medication.