Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was met by Chile Shikabenga, Care Staff and explained the purpose of the visit. Administrator Linda McIntosh and House Manager, Brittney McIntosh arrived and assisted LPA with the inspection. The facility is licensed to care for six (6) elderly residents ages 60 and above, approved for (6) non-ambulatory residents and hospice waiver for (5) residents.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were maintained. The facility has an Infection Control Plan in place. Bathroom has hygiene items such as hand soap and toilet paper. Paper towels are only provided in the bathroom. Facility uses cloth/reusable towels in the kitchen.

Operational Requirements: LPA reviewed the Infection Control Plan in place. A fire clearance is in place. Last Fire Drill was conducted on 09/02/2025 and training conducted on a monthly basis. The administrator has valid liability insurance in place. Facility does not handle cash resources for the residents. The facility has working signal systems in exit points, which LPA along with the Administrator tested during the visit.