Facility Evaluation Report

On 09/25/24, Licensing Program Analyst (LPA) Regina Cloyd conducted an required – annual inspection and met with Supervisor Joel Morales.

Facility is licensed to serve six (6) non-ambulatory residents and has an approved hospice waiver for six (6) residents. The facility has two bathrooms, four bedrooms (two rooms are shared), staff room, kitchen, living room, dining rooms, two outdoor patios, and laundry room. 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 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, and shower was free of mold/mildew and a non-skid mat was in place. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked.

Common areas were clean and clear of hazards. Doorways were free of obstructions.