Facility Evaluation Report

On 04/20/26, Licensing Program Analysts (LPA) M. Yang arrived unannounced to conduct an annual visit. LPAs introduce self, stated the purpose of the visit and request to meet with Licensee (L1) Sarah Mazibuko. LPA toured facility with L1. Four resident was present during inspection.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. Medications observed kept locked in hall closet. Fire extinguisher was observed with a purchased date of: 03/28/26. Temperature maintained for refrigerator at 37 degrees F and freezer at -8 degrees F. An adequate supply of perishable and non-perishable food was observed. Cleaning supplies observed locked under kitchen sink, under hall counter, and in garage cabinet. All bedrooms were observed to have required furnishings and with adequate lighting. Bathrooms were properly equipped and operational. All bathrooms are observed with securely fastened grab bars and non-skid mats. Hot water temperature was tested at 112.6 degrees F in bathroom 1 and tested at 112.2 and 113.7 degrees F in shared bathroom. Outside of facility toured and observed to be free of debris with adequate outdoor seating available for residents. Side gate observed self-closing and self-latching. All residents’ and sample of staff files were reviewed to have all the required records. Carbon monoxide and smoke detectors were tested and observed to be operational.

Exit Interview conducted. Copies of Lic 308, Lic 500, Lic 610E, and current liability insurance was received during visit. A copy of this report was provided to the Licensee, whose signature on this form confirms receipt of this report.