Facility Evaluation Report

On 06/17/2025, Licensing Program Analysts (LPA) J. Duarte and M. Medina conducted an unannounced

annual required inspection visit. LPAs met with House Manager Mya Lwin. Licensee, Helen Houck was contacted by telephone and arrived shortly after. There are currently four residents residing in the facility.

LPAs inspected the interior and the exterior of the facility with Administrator. Facility observed to be well lit, odor free, and comfortable temperature set at 74 degrees F. LPAs observed residents in the living room watching television, building puzzles and/ or sleeping, at time of inspection visit.

Facility living room and dining room observed to have adequate seating available. Resident bedrooms toured, bedrooms observed to have all required furnishings. Resident bathrooms toured, water temperature measured at 105.4 degrees F. Bathrooms observed to have grab bars in the shower and near toilet. Showers have shower chair and skid resistant mats available. LPAs observed kitchen to have all sharps and utensils locked and secured in kitchen drawers. Facility observed to have and adequate supply of food for the residents in care. Medications are centrally stored and locked in a kitchen cabinet. All medications observed to have original labels and be administered as prescribed.

Outside of facility toured. All exits open free of obstruction. No hazards observed. Facility has seating and a shaded area for residents.

Fire extinguisher present, one located in the hallway and one in the kitchen, both were serviced on 05/14/2025. Smoke and Carbon Monoxide detectors present and observed operational. Last Fire drill conducted 05/09/2025 according to facility records.

No deficiencies were cited during this inspection. Exit interview was conducted and a copy of this report provided for facility records.