Facility Evaluation Report

On April 13, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management - Health Checks inspection. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit.

On today's visit, LPA observed the facility still has no residents in care and remains vacant. LPA, accompanied by the staff, conducted a tour of the physical plant of the facility. LPA inspected the five resident bedrooms and observed them to be free of hazards. LPA observed the lights in each of the resident's bedroom to be operational. LPA inspected the five bathrooms located in the facility, three of which are dedicated for resident use. LPA observed bathrooms to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Hot water temperature measured between 124.7 and 125.7 degrees Fahrenheit. The facility was issued a citation on the previous visit for the hot water temperature, however, they were provided with a plan of correction date of April 13, 2026, to correct the citation. LPA conducted a tour of the kitchen area. LPA observed kitchen appliances to be clean and operational. LPA observed the six burner gas stove lights unassisted. LPA observed the facility has a three day emergency food and water supply stored in the kitchen pantry. LPA observed there are three fire extinguishers mounted in the facility. LPA observed fire extinguishers are charged, however, they were last serviced on April 8, 2025, and therefore have not been serviced annually. LPA observed all of the facilities utilities, such as the electricity, water, gas, and internet, to be operational during the visit.

LPA, accompanied by the staff, conducted a tour of the exterior portions of the facility. LPA observed the exterior to be free of any obstructions or hazards. LPA conducted interviews with four staff during the visit. CONTINUED ON LIC809-C