Facility Evaluation Report

On 10/10/25, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with Administrator Coty Cabral. The facility is licensed to serve six (6) residents, age range 60 and over. It is approved for six (6) non-ambulatory of which one (1) may be bedridden. The facility has an approved hospice waiver for three (3) residents. The facility is a one-story house with four (4) resident rooms, 2 bathrooms, kitchen, dining room, living room, TV room, and attached garage. The facility is clean, sanitary, and in good repair.

The Administrator 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 the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew, a non-skid mat was in place, and the water temperature measured at 109.4 degrees Fahrenheit. Continue to LIC809-C.