Facility Evaluation Report

On 03/18/2025 at 11:30AM, Licensing Program Analyst (LPA) L. Hall conducted an unannounced annual required inspection. LPA met with Administrator, Sakaraia Kata, and explained the purpose of the visit. LPA toured the facility with caregiver Sakaraia Kata. The administrator currently holds a certificate (#6077910740) that expires on 08/6/2027. The facility’s fire clearance was approved for twelve (12) Non ambulatory and six (6) Bedridden residents. Hospice waiver for twelve (12).

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of eleven (11) bedrooms, three (3) full bathrooms, and seven (7) half baths in bedrooms. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 74 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 136.2 degrees Fahrenheit. Night lights are maintained in hallways and passages to non private bathrooms. LPA observed residents’ bathrooms are equipped with grab bars no non slip mats. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 12/5/2025. First aid kit was observed to be complete. Fire drill was last conducted on 01/28/2026.