Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the staff, Eriko Walsh and Yaeko Mashima, and explained the reason for the visit. The administrator, Peter Grabicki was notified over the telephone and joined shortly after.

At approximately 10:15am, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms and carbon monoxide detectors are dual and interconnected. There is also an additional carbon monoxide detector installed in the hallway by resident rooms. The fire extinguisher is located in the kitchen. It was charged on 03/11/26.

Kitchen: The kitchen appliances and fixtures were functional. LPA observed a sufficient amount of perishable and non-perishable and emergency food items on stock. No knives, sharps, toxins or cleaning supplies were observed out in the open. Knives and cleaning supplies are kept locked in the kitchen cabinets.

Bedrooms: There are four (4) bedrooms designated for client use. Per STD 850, Bedroom #1 has the bedridden fire clearance. Bedrooms #2 and #3 are shared. Bedroom #4 is ambulatory only. LPA observed the bedrooms to be properly furnished with sufficient lighting and closet space.

Bathrooms: The facility has three (3) bathrooms. Bedrooms #1 and #4 has it's own bathroom with shower. The third bathroom is located in the hallway by bedrooms #2 and #3. All three bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured between 115 to 116 degrees.