Facility Evaluation Report

At approximately 9:30AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Case Management – Other Visit and met with Executive Director, Mike Sharkey, and Health and Wellness Director Melanie Fenn. The purpose of today’s visit is to inspect the facility’s completed expansion.

On 08/13/2025, the facility received an approved fire clearance and change of capacity. Facility’s fire clearance and capacity has been updated to a total of 172 Non-Ambulatory Residents, where 12 can be bedridden. LPA conducted a physical plant walkthrough of the new expansion and observed the following:

Facility expansion is a four story building with 35 bedrooms. Per Executive Director, the new expansion is for independent living residents.

Bathrooms were equipped with necessary grab bars.

Water temperatures for a sample size of 8 sinks were within Title 22 regulations of 105 to 120 degrees Fahrenheit.

Facility's fire extinguishers were last inspected March 2025.

Facility’s emergency pull cord system was being tested and reconfigured during LPA’s visit.

Facility’s change of capacity is approved for licensure, effective today, 08/20/2025.

Exit interview conducted. Copy of report discussed and provided to Executive Director and Health and Wellness Director. Signature on form confirms receipt of documents.