Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with staff, Aniyah Williams, and explained the reason for the visit.

At approximately 9:30am, with ith the assistance of staff, LPA took a tour of the physical plant. The facility is a one story building. Required postings were observed in the entry area. The smoke alarms are battery operated. The carbon monoxide detector is installed in the living room. Both were tested and functional during visit.. The fire extinguisher located in the kitchen. It was charged July 2025. Emergency evacuation drill was last conducted on September 18, 2025

Kitchen: The kitchen appliances and fixtures are functional. LPA found a sufficient amount of perishable and non-perishable food properly sealed and stored. Knives are stored in a locked drawer in the kitchen. Cleaning supplies are locked in a cabinet underneath the kitchen sink.

Bedrooms: There are four (4) bedrooms designated for residents' use. At this time, all bedrooms are occupied for private use. Bedrooms were observed to be properly furnished with appropriate beddings and linens with sufficient lighting. Passageways going in and out of the rooms were clear of obstruction.

Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms were properly supplied and had functional fixtures, grab bars and non-skid mats. No cleaning supplies were observed in either of the bathrooms. Hot water temperature measured at 110 degrees.