Facility Evaluation Report

On May 13, 2025, at 8:30am, Licensing Program Analyst (LPA) Eboni Bentley arrived at the facility

unannounced, for the purpose of conducting a Plan of Correction - Deficiencies inspection. This is a follow up to a deficiency issued during the annual inspection conducted on April 22, 2025 by LPA Jessica Cho. During today’s visit, LPA Bentley was greeted and granted entry after explaining the purpose of the visit to Administrator/Executive Director Mandy Taylor.

LPA inspected all common areas and inspected 16 resident apartment units which had all the required elements. The residents’ personal bathrooms were checked. Toilets and water faucets worked properly, and the grab bars were secure. Showers were free of mold/mildew, and the slip resistant mats were in place.

Regarding, 87303(e)(2), Maintenance and Operation, regulation indicates that "the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F." Water temperature was measured today between 109.2 and 119.3 degrees Fahrenheit. Facility has complied with the terms of the Plan of Corrections (POC).

An exit interview was conducted with Administrator Mandy Taylor, and a copy of this report including the Letter of Deficiency Citations Cleared were provided at the end of the visit.