Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by staff. Program Director Amber Labriola arrived during the visit. Facility is licensed for six ambulatory clients. Upon entry, facility appears clean, safe and sanitary. Administrator Greg Rosenbaum and Compliance Director Catherine Mann arrived during the visit.

LPA Lyman along with Operations Director toured the facility at 12:00 PM. LPA toured the physical plant, checked food service, and reviewed facility documentation. The home consists of two client bedrooms downstairs and a staff restroom along with two client restrooms with four client bedrooms and four client restrooms upstairs, living room, dining room, and kitchen. Client bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Client bathrooms were checked. Toilets and water faucets worked properly, and shower was free of mold/mildew. Water temperature measured between 107 and 116 degrees F in facility bathrooms. Client bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Smoke detectors and carbon monoxide detectors tested operational during today's visit. Facility employs a chef for lunches and dinners. Fire extinguishers are fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample shaded seating for clients. LPA observed ample emergency food and water supply. LPA reviewed the emergency disaster plan during the visit. Plan is thorough and complete. Facility provided documentation of last fire drill conducted on 08/05/2025 and drills are conducted quarterly. Facility provides activities in the form of exercise and community outings. LPA reviewed five client files and three staff files during the visit. Client files contained all required documents. Continued on LIC 809C dated 10/21/2025.