Facility Evaluation Report

At approximately 9:00 a.m. on 03/28/25, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with staff and later the administrator and disclosed the reason for the visit.

The facility was last visited on 03/10/2025 for a complaint visit. It is a single story building with four (04) bedrooms, two (02) bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for four (04) nonambulatory residents.

LPA observed a maintained front yard and an unlocked front gate. A screening station at the front contained surgical masks, sanitizer, and a visitor log. Postings at the front and near the office area included COVID precautions, facility license, confidential complaints contacts, emergency disaster plan, personal rights, emergency contacts, and the facility sketch. Also posted were activity calendars and a weekly menu in the kitchen.

Walls, floors, windows, screens, and blinds were clean and in good repair. Around 9:30 a.m. LPA measured the room temperature to be 72 degrees Fahrenheit. The living rooms contained televisions, music equipment, reading material, exercise equipment, board games, puzzles, and furniture in good repair. The office area contained locked medications in the med cart and locked confidential files.

LPA called the house telephone at 9:50 a.m. The phone was deemed operational. LPA observed an adequate supply of perishable and non-perishable foods in the kitchen and the garage. Appliances were in good condition. Cleaning solutions were locked under the sink. Sharps were locked above the counter. A first aid kit was locked below the counter. The stove surface and hood were clean.