Facility Evaluation Report

Licensing Program Analyst Shawna Doucette (LPA) arrived at the facility unannounced to conduct a Required Annual inspection. LPA was granted entry by Staff Micaela Venegas who contacted the Administrator via phone. Staff advised Assistant Administrator Brian Nelson and Administrator were responding to assist with the visit.

LPA conducted a tour of the facility. Facility consisted of 3 separate houses on the property which were the Ranch House, The Garden House and the River House. Facility observed to be clean, and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. Kitchen toured, appeared clean and safe for food preparation. Food supply checked. Resident rooms checked. Hot water measured at 105, 109 and 107.4 degrees F. Fire extinguisher serviced on 08/08/2025. Smoke detectors and carbon monoxide detectors observed operational. Last fire drill conducted 09/08/25. All cleaning supplies are locked and secured in a cabinet under the kitchen sink, break room and a storage room. LPA reviewed staff and client files. Facility does not have a current centrally stored log for each client.

Exterior tour conducted, all exits open and free of obstruction. Facility has a pool which is fenced, locked and inaccessible to clients in care.

An exit interview was conducted with the Administrator and a copy of this report with plan of correction and appeal rights was provided.