Facility Evaluation Report

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

annual required inspection visit. LPAs contacted Administrator Adam Tauchen, who arrived shortly after to conduct inspection with LPAs.

There are currently five residents residing in the facility. All residents were at day program at start of inspection. Facility toured with Administrator and observed to be well lit, odor free, and comfortable temperature set at 72 degrees F.

Facility living room and dining room observed to have adequate seating available. Resident bedrooms toured, bedrooms observed to have all required furnishings. Master bedroom for Resident 1 (R1) observed to have flooring that was separating and lifting beneath bed, sliding door in this bedroom observed have a broken lock and secured with a wood stick. Resident bathrooms toured, water temperature measured at 108.6 degrees F. 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. LPAs observed old wood fencing from previous repair that needs removal. LPAs observed shaded area with seating for residents.

Fire extinguisher present, one located in the hallway and one in the kitchen, both were serviced on 10/11/2024. Smoke and Carbon Monoxide detectors present and observed operational. Last Fire drill conducted 06/04/25 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