Facility Evaluation Report

Licensing Program Analyst (LPA) Gabriela Castro and Licensing Program Manager conducted an unannounced required annual visit using the Compliance and Regulatory Enforcement (CARE) Tool. LPA was greeted by Elyssa Markie, Administrator, and explained the reason for the visit.

The facility is licensed to serve six (6) residents, age 60 and over, and is approved to care for up to six (6) bedridden residents. The facility is also approved to retain up to three (3) hospice residents.

There was (3) resident under hospice care during inspection.

Personal Rights postings (LIC 613C and Ombudsman), Complaint Poster (PUB 475), and nondiscrimination notice were observed in a common area. Residents had access to personal space, privacy, and adequate storage. No firearms/weapons were present.

The facility is located in a residential neighborhood and is a single-story home consisting of five (5) resident bedrooms, two (2) bathrooms, a living room, kitchen, dining area, attached garage, front yard, and backyard. The attached garage contains two built-in caregiver quarters. LPA observed five (5) resident bedrooms, with one (1) bedroom vacant at the time of the visit. All bedrooms observed contained the required furnishings, including a bed, mattress, linens, dresser, chair, and adequate lighting. Cleaning supplies and other toxic substances were observed to be inaccessible to residents and secured in locked cabinets located in the kitchen and restrooms. Bathrooms were clean and equipped with required grab bars in the showers and near toilets, as well as non-skid mats.