Facility Evaluation Report

On 1/12/2026 at 1:00 PM, Licensing Program Analysts (LPAs) A. Gomez and Y Brown arrived unannounced to continue the Required 1 Year Annual inspection. Upon arrival, LPA was greeted by Caregiver, Ulanda Mitchell and explained the purpose of the visit. Administrator arrived at 2:00PM. The facility’s fire clearance was approved for 6 Non-Ambulatory.

LPAs toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 73 degrees Fahrenheit. LPAs 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 113.6 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 not locked and inaccessible to residents.

Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 01/28/2025. Emergency Disaster Plan was last posted on 01/01/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on December 2025.

At 1:40pm, LPA reviewed 2 residents records. At 2:30 pm, LPA reviewed 2 staff records.