Facility Evaluation Report

On 01/30/2026 at 12:00 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Haimanot Batha and explained the purpose of the visit. The facility’s fire clearance was approved for six (6) residents. In which all may be non-ambulatory, one (1) bedridden and there's an approved hospice waiver for three (3) resident. Administrator certificate # #7011929740 expires 05/18/2026 .

Licensee, Girmay Gebremedhin, arrived shortly.

LPA toured facility with Haimanot including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of six (6) total bedrooms which six (6) bedrooms are occupied by the residents. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 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 100.7 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one-week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents.