Facility Evaluation Report

On 05/27/2026, Licensing Program Analyst (LPA) J. Duarte conducted an unannounced required Annual Inspection. LPA introduced self, stated purpose of visit and was allowed entrance. LPA met with Administrator, Harold Dano to conduct facility visit. The facility has three residents. Two residents were observed in the living room having dinner and watching television and one resident was their room watching television and crocheting.

LPA observed facility to be clean, odor free, and well lit. Facility tour conducted with Administrators. Resident bedrooms were toured. Bedrooms were observed to have all required furnishings, linen observed to be in good repair with additional linens available. Resident bathrooms toured, all fixtures observed operational. LPA observed grab bars, shower chairs and skid resistant mats available. Water temperature measured at 117 degrees F in the master bedroom and 120 degrees F in the hallway restroom. All common areas observed to have adequate seating available. Kitchen toured, LPA observed facility to have a 2-day supply of perishable food and a 7-day supply of non-perishable food available. All knives are locked and secured in kitchen.

Fire extinguishers present with a purchase date of 04/21/2026. Carbon monoxide and smoke detectors present and observed operational during today's inspection.

Outside of facility toured, all exits open free of obstruction. Sheds in the backyard observed to be locked, secured, and inaccessible to residents.