Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver John Jordan after explaining the purpose of the visit. Licensee/Administrator (Admin) Grace Radford arrived shortly and was advised of the visit. The facility is a single story structure located in a residential neighborhood. Facility operates within the conditions and limitations specified on the license. LPA observed six residents of which five are under the care of hospice with three caregivers on duty.

The following was observed during the inspection:

LPA observed the facility to be clean, sanitary, and operational. There are six resident bedrooms and five and half resident bathrooms. There is one additional bedroom dedicated to two staff. All common areas were inspected including the attached two car garage which doubled as a laundry area. The residents' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for each residents' personal belongings were observed. Bathrooms were found to be in compliance, clean, and operational. The water temperature measured at 105.2, 118.9, 105.6, 116.4, 112.6, and 119.1 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. There is a small fenced fountain and secured sheds in the backyard. LPA observed the outdoor passageway free of obstructions. The exit gates were self-closing and self-latching. LPA observed sufficient seating and shading. Facility maintains two fire extinguishers. Both were mounted, charged, and serviced on May 14, 2025. The auditory devices and dual functionoing smoke/carbon monoxide detectors were tested and operational.