Facility Evaluation Report

05/01/2025 09:00 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with Executive Director Irene Davis and explained the purpose of the visit.

LPA Knight and the Executive Director toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to assisted living and memory care sections of the facility including resident rooms, common areas, activity rooms, laundry room, bathrooms, kitchen, and storage areas. Staff and resident files were reviewed. All employees requiring background checks are cleared. Medications were reviewed. Medication is locked in locked med room. There is a schedule of recreational activities planned for the residents.

The facility was observed to be at a comfortable temperature. Common area was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Kitchen was clean and in good repair. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged and inspected. Johnson Control comes in quarterly to inspect the entire community. The fire alarm, sprinklers and smoke detector systems are inspected annually in conjunction with Otis elevators. There are no pools/bodies of water are on premises. Last emergency evacuation drill was conducted on April 21, 2025, the facility has been conducting fire drills quarterly.

LPA requested the following documents that need to be updated in the facility file:

LIC500 Personnel report, Current liability insurance.

No deficiencies are being cited as a result of today's inspection. Exit interview conducted and copy of report was provided to administrator Irene Davis.