Facility Evaluation Report

On 06/04/2026, Licensing Program Analyst (LPA) M Vega arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA toured the facility with facility staff Karlene Maitland. Administrator (AD) - Camalah Kopacz was contacted by phone however was not able to attend Annual Inspection.

The facility was observed to be at a comfortable temperature, of 77 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. LPA observed some residents in common area during breakfast watching television, others in their room still in bed. Department phone number and infection prevention information signs were posted thought the facility.

Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2-day supply of fresh perishables to be properly stored. An emergency disaster supply was observed.

A fire extinguisher was observed with a service date of 05/27/2026. All six private residents’ bedrooms were observed to be at comfortable temperatures. The bathroom’s water temperature was tested and recorded reading of 115.7 degrees F.

Medications observed to be locked in a cabinet in the common area. LPA reviewed medication records, records are observed to be properly maintained at time of inspection. Cleaning supplies were observed to be in a locked cabinet in the storage are near the front entrance of the facility. An outdoor seating area with shade was observed operational for residents in care.