Facility Evaluation Report

Licensing Program Analysts (LPAs) Lavinia Muscan and Talwinder Bains arrived on 6/17/2025 to conduct the annual inspection.

During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPAs reviewed five resident (5) and five staff files (5). All resident files contained the required paperwork. All staff files contained the required paperwork. Facility was clean and well organized. Facility is current on fire drills. All required posting were observed. Staff training contained the required initial training.

LPAs and Administrator Chad Rogers toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, dining room, hallways, and common areas. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. The disaster drill is current. The administrator's certificate is current. LPAs checked the kitchen area for the ability to prepare and store food. LPAs observed cleaning products and other toxins to be locked away. LPAs observed the area used for medication to be locked and inaccessible to residents. LPAs observed smoke detectors and carbon monoxide detector are operational. Fire extinguisher is ready for emergency use. Water temperature is within compliance. In the areas toured, there were no health or safety violations observed.

LPAs requested a copy of the LIC500, LIC610E and current liability insurance to be sent to the Department by end of the month.

Exit interview conducted. A copy of this report was printed and given to facility.