Facility Evaluation Report

On 6//12/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA arrived introduced self, and allowed entrance. Chief Financial Officer (CFO), Christine Williams contacted by telephone and arrived a short time later to conduct inspection visit. .

Currently, 5 residents are in placement. All residents were at Day Program at time of inspection. Residents attend day program Monday through Friday 7:30 am - 3:00 pm. Facility tour conducted with CFO, Facility observed to be well lit, clean and odor free. All common areas have adequate seating available. Resident bedrooms toured, all bedrooms observed to have required furnishings. Bathrooms toured, showers observed to have skid resistant shower floors. Water temperature measured at 105 degrees F. Kitchen toured, all sharps observed to be locked and secured in medication cart. Facility observed to have a 2-day supply of perishable and 7-day of non-perishable available. Medication observed to be locked and secured in medication cart. Medication observed to have original labels and to be administered as prescribed.

Smoke detectors and carbon monoxide detector observed operational during inspection. Fire extinguisher present with a service date 11/03/2024.

Outside of facility toured. All exits open free of obstruction. Perimeter of back yard is secured with a fence and free of obstruction. Chemicals are locked and secured in supply room.

Exit interview conducted. No deficiencies cited. A copy of this report was provided for facility records.