Facility Evaluation Report

On 01/14/2026, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with Administrator Rosemarie Famisan. The facility is licensed to serve six (6) non-ambulatory residents age range 60 and over, of which two (2) may be non-ambulatory and four (4) may be bedridden in rooms 1 – 4. It has a hospice waiver for four residents. Currently, the facility has one resident receiving hospice and home health. Annual fees are current. The facility is a five-bedroom, two bathroom, single story house with a two-car attached garage. The home has a fireplace in the family room with a metal screen cover and is inaccessible to clients. There is a large, covered patio area and a covered in-ground jacuzzi on the premises. The facility is clean, sanitary, and in good repair.

Staff accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards.

Resident bedrooms had bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Staff tested the carbon monoxide detector and smoke detectors in the house. Both devices were functional. Continue to LIC809-C.