Facility Evaluation Report

On 10/04/2025, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with Staff Joel Morales. The facility is licensed to for (6) six non-ambulatory, of which (4) four can be bedridden. All rooms are approved for non-ambulatory and rooms #1, #2, and #3 are approved for bedridden. It has an approved hospice waiver for four (4) residents. The facility currently has one bedridden resident and it does not have any residents receiving hospice. The facility is a one-story house located in a residential neighborhood and consists of four (4) bedrooms, two (2) bathrooms, kitchen, living room/dining room, covered patio and a garage. The facility is clean.

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... Continue to LIC809-C.