Facility Evaluation Report

On 9/272025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required inspection. LPA identified self, stated purpose of visit, and allowed entrance by direct care staff. Licensee/Administrator Dustina Sherwood contacted by telephone and was unavailable to conduct today's inspection with LPA. Dustina gave verbal consent to conduct tour with caregiver on staff.

Facility observed to be clean, odor free, and a comfortable temperature. LPA observed common areas of the facility to have adequate seating and lighting available. Residents observed to be watching television in the living room and some relaxing in their bedrooms. Resident bedrooms toured, all bedrooms observed to have required furnishings available. Resident bathrooms toured, all fixtures observed operational, shower observed to have skid resistant mats, shower chair and grab bars available. Hot water measured at 114 degrees F.

Facility is equipped with a fire extinguishers with a service date of 12/16/2024. Smoke detectors and carbon monoxide detectors tested and observed operational at time of inspection.

Outside area toured, facility has covered patio with seating for residents. No hazards observed.

Due to time constraints, LPA will return to complete inspection tool and review both resident and staff file reviews.

Any deficiencies, if observed will be cited during subsequent visit.

An exit interview was conducted with caregiver, and a copy of this report will be provided to Administrator via e-mail