Facility Evaluation Report

On September 2, 2025, Licensing Program Analysts (LPAs) Brandon Lopez and Garlli Tat made an unannounced visit to conduct the required annual inspection. LPAs were greeted and granted entry by care giving staff after explaining the purpose for the visit. Administrator (ADs) Scott Messick was notified via telephone and later arrived to assist with the inspection. LPAs observed that Scott Messick has a valid Administrator certificate which expires on December 1, 2025.

The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents, of which one may be bedridden, and has a hospice waiver for six. The facility is a single-story home with five resident bedrooms, one of which is shared, one staff bedroom, two resident bathrooms, a living room, a dining room, a kitchen, a laundry room, a staff office, and an attached two car garage. LPAs accompanied by the AD conducted a tour of the interior portion of the facility. On today's visit, LPAs observed three residents in care and two care giving staff present. LPAs observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. LPAs inspected the five resident bedrooms, and they were observed to be free of any hazards. LPAs observed the resident bedrooms had the required furnishings of a bed, a chair, a chest of drawers, and a lamp. All resident beds had clean linens and blankets. LPAs observed additional linens are stored in the hallway cabinets. LPAs inspected the two resident bathrooms. Resident bathrooms are clean. Bathrooms are equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 107.9 and 108.1 degrees Fahrenheit. LPAs observed the staff bedroom can be kept locked.

LPA observed the kitchen has a two day perishable and seven day nonperishable food supply on hand. CONTINUED ON LIC809-C