Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct the required annual inspection. LPA called Licensee/Administrator(AD) Stephen Gradney and informed him of her arrival. AD informed LPA that there are no residents or caregivers at the facility and they would come to assist with the visit. AD arrived at 9:45AM and greeted and granted LPA entry.

The facility currently has no residents in care and does not retain staff. AD informed LPA that the last resident moved out of the facility in August of 2025 and the facility has been empty since.

The facility is a one story home with four resident bedrooms, one resident bathroom, kitchen, living room, activity room, staff office, staff bedrooms, staff bathrooms, storage rooms and reception area. All resident bedrooms have the required components and furnishings. AD informed LPA that the entire back of the house is going to be used for residents and LPA advised that no cameras can be in resident rooms. AD informed LPA that bedroom one was recently decided to be turned into a resident bedroom and the camera still needs to be removed. LPA observed the facility has extra linens in the hall cabinets located by the staff rooms. The resident restroom water was tested at 108.8 degrees Fahrenheit and toilet paper and non slip mats were observed. LPA observed the medication cabinet to be in the hall by the caregiver rooms with a lock making medications inaccessible once residents reside at the facility. LPA observed storage rooms by the caregiver bedrooms to store facility items such as extra paperwork and boxes. LPA observed the kitchen to be clean and free of vermin. LPA did not observe a 2 day perishable due to the facility being empty, but observed seven days of non perishables in the pantry. The sharps were observed in a locked drawer in the kitchen. The toxins and chemicals were under the locked kitchen sink. Continue on LIC 809C