Facility Evaluation Report

Licensing Program Analysts (LPAs) Graham Gunby and Cheyenne Ratajczak arrived on Tuesday November 18, 2025 to conduct the unannounced annual inspection. LPAs met with Executive Director (ED) Keith Payne and explained the purpose of visit.

During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPAs reviewed resident (8) and staff (6) files. All resident files contained the required paperwork. All staff files contained the required paperwork and training.

LPAs and ED toured the facility together to ensure the health and safety of residents in care. The areas toured included common areas, bedrooms, bathrooms, kitchen, laundry room. LPA checked the kitchen area for the ability to prepare and store food. Facility has required (2) two-day perishable and (7) seven-day non-perishable food supply on hand. LPA observed knives, cleaning products and other toxins to be locked away and inaccessible to residents. Smoke and carbon monoxide detectors are operational. Fire extinguishers and first aid kits are maintained and ready for emergency use. In the areas toured, there were no health or safety violations observed.

No deficiencies cited. Exit interview conducted. A copy of this report was emailed to the ED.