Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by Administrator (AD) Ameer Attrah and explained the reason for the visit. Facility is licensed for 6 ambulatory residents only, with a hospice waiver for six. Currently there are six residents, one resident is currently on hospice during today's visit.

LPA Tea reviewed six resident files and two staff files. Resident files and staff files contained all required documentation. AD Attrah’s administrator certificate expires on April 19, 2027. The facility’s last fire drill was conducted on February 11, 2026.

LPA Tea along with the administrator toured the facility. LPA toured the physical plant, checked food service, and the first aid kit. The home is a one-story home that consists of three shared resident bedrooms, two full bathrooms, living room, dining room, kitchen and garage. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 117.5 to 118.6 Fahrenheit degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards; doorways were free of obstructions. First aid kit had all the required elements including dressing, bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen

(Annual Inspection continuation on LIC809-C)