Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 09:36 AM. LPA met with facility staff who contacted the facility Administrator Annie Osborn. The Administrator arrived to the facility at 01:03 PM. Entrance interview was conducted and the reason for the visit was explained.

Beginning at 09:50 AM the LPA, along with facility staff #1 (S1) toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

KITCHEN : The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility had a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured drawer which contained knives and other sharp objects. LPA observed a fire extinguisher mounted on the wall to be purchased on 05/08/2026. The kitchen contained a locked cabinet which contained facility files and locked under-sink storage which contained cleaning chemicals. LPA observed one (1) unlocked cabinet to contain supplements and Advil. LPA notified S1 who immediately secured the items. LPA observed one (1) unlocked cabinet to contain unsecured cigarettes.

COMMON AREAS : This included the living room, hallway, and dining area. LPA observed the living room to be clean and properly furnished at the time of the visit. The living room contained a fireplace that was appropriately screened and contained no tools. LPA observed one (1) unsecured drawer in the living room to contain a bottle of Motrin. LPA notified S1 who immediately secured the item. The hallway was observed to contain a storage closet which contained extra linens for resident use. CONTINUED ON LIC 809C.