Facility Evaluation Report

At approximately 12:50PM, Licensing Program Analyst (LPA) Carol Fowler arrived unannounced to conduct a Required 1 Year annual inspection and met with Administrator Richard Bond Administrator, and explained the reason for the visit.

LPA conducted a tour of the facility and observed the following: the facility was clean and at a comfortable temperature with all exits free from obstruction. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. There is a sufficient supply of hygiene products, paper products, and linens available for resident use. Medication was centrally stored and secure.

LPA reviewed 1 of 1 resident records, which were incomplete. LPA reviewed a sample of staff records. LPA reviewed 4 staff files. Staff files were incomplete. Administrator's Certificate# (6068508740) was current with an expiration date of 01/10/2026.

The facility conducted fire and evacuation drill on 7/18/2025. Facility's fire extinguishers were last inspected 09/10/2024. Smoke detectors and carbon monoxide detectors were tested and operational. The amount of fresh and non-perishable foods are within regulation. Hot water temperatures in shared residents bathroom was within Title 22 regulations measured at 111.3 degrees Fahrenheit.