Facility Evaluation Report

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA Haley was greeted and granted entry by staff who contacted Licensee/Administrator (AD) Maylene Gabat who was unable to attend the visit. AD Maylene has a current Administrators certificate that expires November 19, 2026.

Matsonia Lane Homes is a one-story community with five bedrooms and two bathrooms.

The current capacity is 3 and the census was 2 during the visit.

During the inspection, LPA Haley observed all resident bedrooms. The bedrooms had all the requirements and were in compliance with regulation guidelines. In the hallway near the main bathroom, LPA Haley observed incontinent care supplies. A Carbon monoxide detector was observed in the hallway and tested operational. In a hallway closet right cross from the kitchen there is a closet with a nonperishable food supply.

Resident bathrooms were observed. Hot water temperatures were measured in between 111.2 degrees Fahrenheit and 111.5 degrees Fahrenheit. No hazardous items were observed in the resident bathrooms.

In the kitchen LPA observed a perishable food supply in compliance with regulation requirements. Knives and sharp objects are kept locked in a drawer near the sink. No hazardous cleaning chemicals are stored in the garage. The stove was being used to prepare lunch for the residents and two of the burners were in good working order. However, after staff finished cooking and the other two burners were checked, the top left burner was observed to be non-operational.

A first aid kit with all the required elements was observed in a drawer in the dining room. The fire extinguisher was fully charged and mounted on the wall in the kitchen/dining room next to the refrigerator. Resident files are kept in a locked file cabinet in the dining room. In the same locked cabinet are emergency bags for each resident, an emergency water supply, and resident medications.