Facility Evaluation Report

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit and was greeted by Staff Lucia Andrade.

The purpose of the visit is to complete the required inspection.

LPA Trueman toured the facility along with Staff Lucia Andrade today 10/14/2025 at 9:45 AM and the following was observed:

Facility contains 3 Client Bedrooms and 3 Client Bathrooms, dining room, living room, TV room, and laundry room.

Required Annual Inspection included Infection Control, Operational Requirements, Physical Plant/ Environmental Safety, Staffing, Personnel Records/ Staff Training, Resident Records/ Incident Reports, Resident Rights/Information, Food Service, Planned Activities, Incidental Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs.

LPA observed sufficient supply of 2 day perishables and 7 day non perishables.

All staff were cleared and associated. Residents are encouraged to maintain and develop their fullest potential for independent living through participation in planned activities.

Visitation signage was posted along with signage for hand washing and proper sanitizing.

Licensee maintained an individual admission agreement for each client.

Fire Clearance has been maintained. Carbon monoxide detector was observed in the facility.

Each client has personal rights free from corporal or unusual punishment, infliction of pain, humiliation, ridicule, coercion, threats, mental abuse, or other actions of a punitive nature.

Facility was clean, safe, sanitary, and in good repair at all times for the safety and well being of residents, employees and visitors.

Medication was reviewed for 3 clients and was given per physician's directions.

3 Client Files and 7 Staff Files were reviewed.

No deficiencies. Exit interview conducted.