Facility Evaluation Report

Licensing Program Analysts (LPA) B. Miranda conducted an unannounced visit today for the facility’s annual inspection. LPA introduced themselves and was allowed entrance into the facility. LPA met with Lita Williams.

Facility is licensed for 6 residents and has a current census of 5. There are no residents on hospice and none with home health. Water temperature was checked in the kitchen which read at 105.4 degrees Fahrenheit and the common bathroom which read at 105.8 degrees Fahrenheit. Smoke and carbon monoxide detectors were tested and in working order.

Lita Williams Administrator's Certification expires September 16, 2027. Staff and resident files were reviewed. First aid kit on site and will be replenished by August 5, 2026. There is a locked storage for medications.

Sample of resident medication was reviewed and no issued were found.

LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms, bathrooms, medication storage, kitchen, garage and outdoor areas. Bedrooms were clean, properly furnished, with adequate lighting, and in good repair. Food supply is adequate for 2-day perishable and 7-day nonperishable.