Facility Evaluation Report

On 8/06/25, Licensing Program Analysts (LPAs) M. Medina and J. Duarte conducted an unannounced Annual Required Inspection. LPAs arrived, introduced self, stated purpose of visit, and allowed entrance by Licensee/Administrator Evangeline Schissler. LPAs toured facility with Licensee.

LPAs observed facility to be clean, odor free, and temperature to be 79 degrees. Facility observed to be equipped with auditory alarms on all exit doors however not in the "on" position. Resident rooms toured. All common areas observed to have adequate seating available for residents. Bathrooms observed to have grab bars, shower chairs, and non-skid mats available. Fixtures in the bathroom observed to be functional. Water temperature measured at 118 degrees F. Kitchen toured, facility has a 7-day supply of non-perishable food and a 2-day supply of perishable food available. LPAs observed food in refrigerator to be stored and not dated. LPAs also observed canned food in pantry beyond expiration date. Knives observed to be in drawer but unlocked and accessible to residents. Medications cabinets observed to be locked and secured, however, LPAs observed AM medications pre-dispensed along with prescription ointments, and prescription inhaler unlocked and accessible in drawer. LPAs observed during file review that all resident did not have a centrally stored medication records.

LPAs observed smoke detectors and carbon monoxide detector to be operational during facility inspection. Fire extinguisher present with a purchase date of 7/8/2025.

Outside of facility toured. Pool is surrounded with a 5 foot wrought iron fence, observed to be locked and secured and inaccessible to residents. Shed in backyard unlocked and contained chemicals for the pool and hazardous equipment. LPAs observed a dresser and miscellaneous items along the North side of facility that need to be moved and secured or disposed of, these items also contained unsecured chemicals and observed accessible to residents