Facility Evaluation Report

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit to the facility for the purpose of completing the annual required inspection. LPA arrived at the facility, was greeted, and was granted entry by Administrator (AD) Victoria Paul. LPA toured the interior and exterior of the facility and observed the following: The facility is a one-story home consisting of five bedrooms and three bathrooms, with an attached garage currently being used for storage. At the time of the visit, the facility had four residents in care.LPA and AD tested the smoke detectors and carbon monoxide detectors in common areas and resident bedrooms; all were operational. Resident bedrooms contained the required furniture, bed linens, and adequate closet and drawer space to accommodate residents comfortably.LPA observed fire extinguishers mounted in the kitchen and garage areas. The last inspection date was September 18, 2025. Upon review of records, the emergency drill log indicated the most recent drill was conducted on October 13, 2025.LPA observed that sharps and knives were locked in the kitchen and inaccessible to residents in care. Restroom toilets and water faucets were operational. Grab bars were secure, and showers were observed to be free of mold and mildew. Water temperature measured between 109.1 degrees Fahrenheit and 109.6 degrees Fahrenheit.LPA and AD toured the backyard and observed a shaded seating area available for residents’ use. LPA confirmed emergency exits were free of obstacles. LPA reviewed two resident files and two staff files and observed they contained the required documentation.{***CONTINUE 809C***)