Facility Evaluation Report

On February 5, 2026, Licensing Program Analyst (LPA) Eboni Bentley arrived unannounced for the purpose of conducting a case management visit and requesting records. LPA introduced self to staff, explained the reason for the visit, and was granted entry into the facility by Administrator (AD) Janine Cuyson.

During today’s visit, LPA and AD conducted a tour of the physical plant and observed the following: There are currently five (5) residents in care with three (3) staff present. Water, electricity, gas, and air conditioning are in operation. Bathroom faucets are verified to dispense hot water at 107.6 F. Perishable and non-perishable food supply observed adequately stocked and emergency food and water supplies are available. LPA conducted interviews with five (5) resident and three (3) staff.

The following documentation was requested from facility staff:

- Payroll records for December 2025, January & February 2026

- Grocery receipts for December 2025, January & February 2026

- Utility bills (water, gas and electricity) for December 2025, January & February 2026

- Proof of rent payments for December 2025, January & February 2026 (provided)

- Resident Records: Emergency Face Sheets, Admissions Agreements, Physician's Reports, Appraisals, and Hospice Records

An exit interview was conducted and a copy of this report was provided to Administrator Janine Cuyson and Eleazar Cuyson.