Facility Evaluation Report

On April 15, 2026, Licensing Program Analyst (LPA) Garlli Tat made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by care giving staff after explaining the purpose for the visit. Administrators (AD) Ryan Roche and Scott Messick were notified via telephone and later arrived to assist with the inspection. LPA observed that both administrators have valid Administrator certificates expiring on December 1, 2027.

The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents, none of which may be bedridden, and has a hospice waiver for six. The facility is a single story home with four private resident bedrooms, one shared resident bedroom, one staff bedroom, two full bathrooms, two living rooms, a dining room, a kitchen, and an attached two car garage. LPA accompanied by the ADs, conducted a tour of the interior portion of the facility. On today's visit, LPA observed four residents in care and two care giving staff present. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the front door. LPA inspected the five resident bedrooms, and they were observed to be free of any hazards. LPA observed the resident bedrooms had the required furnishings of a bed, a chair, a dresser, and a lamp. All resident beds had clean linens and blankets. LPA observed additional linens are stored in the hallway closet. LPA inspected the two full 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 108.8 and 109.2 degrees Fahrenheit. LPA observed the staff bedroom to be kept locked and inaccessible to residents in care.

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