Facility Evaluation Report

Licensing Program Analysts (LPA)'s Shawna Doucette and Sarah Hurtarrived at the facility unannounced to conduct the Required Annual Inspection. LPA met with Program Administrator Deanna Brown. LPA's disclosed the purpose of the inspection and was granted entry into the facility by the Program Administrator.

A tour of the facility was conducted with Program Administrator. The facility was free of passageway obstructions inside and outside.

LPA Doucette observed 8 bedrooms in the facility. Residents' rooms were toured and inspected. Rooms were found to be clean.

Kitchen toured, supply of food observed and food stored properly. Knives were stored in a locked in a storage room. Medications were stored in a locked Medication room in a locked medication cart. Cleaning supplies were in a locked in staff bathroom. Smoke detectors and carbon monoxide detectors were checked. Facility is hard wired with pull station alarms and sprinkler system. Fire extinguishers were charged and had service dates of 7/03/25. Fire drill was last completed on 07/24/25.

There was outdoor seating for the residents.

Staff records were reviewed. Resident records were reviewed and medications. Current first aid and CPR were on file for staff.