Facility Evaluation Report

On January 26, 2026, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted the facility administrator (AD) Kimberly Arnett about the visit. For this visit, there are two staff members on duty, both of which are background cleared and associated. AD later arrived to assist with the inspection.

The PUB475 ‘See Something, Say Something’ poster was observed to be located near the front entrance. LPA observed the Administrator's Certificate for Kimberly Arnett expires on July 21, 2026.

The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, six of which may be non-ambulatory, and a hospice waiver for six. LPA toured the interior and exterior portions of the facility with AD. For this visit, there are a total of five non-ambulatory and one ambulatory residents in care, one of which is on hospice, and none are bedridden.

The facility is a single story home. There are a total of six bedrooms, four of which are private resident bedrooms, one is a shared resident bedroom, and one staff bedroom. LPA toured each bedroom with the AD and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. There is a linen closet in the hallway. LPA observed the staff room is kept locked and inaccessible to residents in care. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of three bathrooms. Continued on LIC 809-C.