Facility Evaluation Report

On 06/05/25 at 09:10 am Licensing Program Analysts (LPA) J. Clancy-Czuleger and A. Christy arrived unannounced to do an annual inspection. LPA meet with House Manager Charlene Banaria and explained the purpose of the visit.

LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Food supplies checked and observed good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, cleaning supplies, and central storage for medications were observed with locks. Activity supplies were available. Outdoor activity space was observed furnished with tables, chairs and shade. Water was measured at 115.4 degrees. Fire extinguishers were observed fully charge and tags showed serviced 06/03/2024.

At 10:02 am LPA reviewed 4 residents records. At 10:35 am, LPA reviewed 2 staff records and 2 of 2 were fingerprint cleared and associated to the facility.

LPA observed one Technical Advisory, that there was a hole in the closet door in room 3.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.