Facility Evaluation Report

On 3/28/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required inspection. LPA arrived, introduced self, provided identification, and allowed entrance into facility by Direct Care Staff (S1). Staff contacted Rosanda Anderson by telephone, who arrived a short time later to conduct facility inspection with LPA.

LPA observed facility to be clean, odor free, and a comfortable temperature. Currently, there are six (6) residents in care, all residents were present at time of inspection. LPA toured resident bedrooms and observed bedrooms to have required furnishings. Resident bathroom toured and observed to have grab bars, shower chair, and non-skid mat available. Water temperature measured at 110 degree F. Kitchen toured, LPA observed food in the refrigerator to be properly stored and labeled. LPA observed an adequate supply of food available for residents in care. Living room and family room have adequate seating available for residents. Dining areas have adequate seating available for residents.

Fire extinguishers present with a service date of 3/20/25. Fire extinguisher and carbon monoxide detector present in facility and observed operational at time of inspection.

Outside of facility toured, all exits open free of obstruction.

Due to time constraints, LPA will return at a later time to complete inspection and inspection tool.

Deficiencies, if any will be issued at completion of inspection.