Facility Evaluation Report

On 2/19/2026 at 12:10pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced annual required inspection. LPA met with Yodit Gebreyohannes, Caregiver . Administrator, Filmon Woldemariam, arrived at 1:05pm, and LPA explained the purpose of the visit. Administrator holds a certificate #6070561740 expires 5/9/2026. The facility’s fire clearance was approved for five (5) non-ambulatory and 1 (one) bedridden resident. Facility has a hospice waiver for one (1).

LPA toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of six (6) bedrooms and three (3) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 106.2 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced 3/15/2025. Fire drill last conducted on 1/25/2026. Emergency Disaster Plan was last reviewed on 5/1/2025. First aid kit was observed to be complete.