Facility Evaluation Report

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on Feb., 11, 2026 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with staff and explained the purpose of the visit. LPA requested for staff to notify Administrator that LPA is present at the facility to conduct an annual inspection. Administrator arrived to assist.

LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA discussed insuring exit gates, effected by the winter weather, open freely at all times in case of emergency. The home is very clean and residents stated they are happy with care.

LPA reviewed 3 resident files. LPA and licensee discussed what qualifies as annual medical assessments and having detail in care plans for care provided.

LPA reviewed 2 staff files. LPA and licensee discussed records of staff training and possible strategies for systematizing training schedules throughout the year for ease of monitoring.

LPA reminded licensee that annual fees are due by mid March.

No deficiencies are being cited as a result of todays inspection.

Exit interview conducted with licensee and copy of report left at the facility.