Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Robinie Martin and explained the reason for the visit. Administrator Estela Kramer later joined to assist LPA with the visit.

The facility is a single story structure located in a residential neighborhood. Facility is licensed to operate for four non-ambulatory, two bedridden, and maintains a hospice waiver for six residents. There are six residents in care with one receiving hospice care. Two caregivers were present and on duty.

LPA observed the facility to be clean, sanitary, and operational. There are five resident bedrooms and two resident bathrooms. There is an additional bedroom occupied by two live-in staff next to the kitchen. All common areas were inspected including the laundry area within the attached two car garage. The residents' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for each residents' personal belongings were observed. Bathrooms were found to be in compliance, clean, and operational. The hot water temperature measured at 116.2 and 116.4 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food available. The fireplace was screened. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction. The exit gates were self-closing and self-latching. LPA observed sufficient seating and shading. The outdoor shed was secured. Two fire extinguishers were observed, charged, and serviced on April 23, 2024. The auditory devices and dual functioning smoke/carbon monoxide detectors were tested and operational. The auditory device was not tested in one resident's room per their request.