Facility Evaluation Report

On 8/25/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required inspection visit. LPA arrived, introduced self, stated purpose of visit, and allowed entrance by staff. LPA met with District Manager, Erinique Jones to conduct visit.

Currently, there are four (4) residents in care, one (1) residents were present at time of inspection. LPA observed resident engaging with staff at time of inspection. LPA tour began in resident bedrooms, LPA observed all bedrooms to have required furnishing and required furnishings. Resident bathrooms toured, bathrooms observed to have skid resistant flooring in showers, bathroom fixtures observed to be operational. Water temperature measured at 118.5 degrees F. LPA toured kitchen, LPA observed adequate supply of plates, cups and utensils for residents. Facility observed to have a 2-day supply of perishable food and a 7-day supply of non-perishable food available for residents. All common areas observed to have adequate seating and lighting available for all residents in care. Medications observed to be locked and secured in hallway closet. All medications observed to have original labels, and to be administered as prescribed.

All chemicals observed to be locked and secured in a locked garage. Fire extinguisher present with a service date of 7/16/2025. Smoke detectors and carbon monoxide detectors observed operational at time of inspection. Last fire drill was conducted 7/01/2025.

Outside of facility toured. All exits open free of obstruction. No hazards observed.

Exit interview conducted. A copy of signed report provided to facility for records.