Facility Evaluation Report

On March 23, 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. Facility administrator (AD) Michelle Wulfestieg was at the facility to assist with the inspection. For this visit, there are three staff members on duty, all of which are background cleared and associated.

The PUB475 ‘See Something, Say Something’ poster was observed to be located in the hallway near the front entrance. LPA observed that Michelle Wulfestieg has a valid Administrator certificate which expires on April 21, 2027.

The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, six of which may be bedridden, 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 three bedridden residents, one non-ambulatory resident, and one ambulatory resident in care, and four of which are on hospice.

The facility is a single story home. There are a total of five bedrooms, four of which are private resident bedrooms and one is a shared 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. LPA observed that there are locked cabinets in the office for employee and resident records. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of two bathrooms, one is for residents and one is communal. Continued on LIC 809-C.