Facility Evaluation Report

Licensing Program Analysts (LPAs) Ahliah Sharp and Ivashia Wright arrived at the facility unannounced for the purpose of conducting the annual inspection. LPAs met with Administrator Jacqueline Arias and informed her of the purpose of today's inspection. Below is a summary of what was observed:

Infection Control: LPAs observed that the facility has an updated Infection Control Plan on file and is demonstrating best practices in the facility to maintain a healthy environment for staff and residents.

Physical Plant: LPAs toured the facility and observed that there are four (4) bedrooms and two and a half (2.5) bathrooms for both staff and residents. LPAs observed the required furniture and linen to be present and in good condition in resident bedrooms. LPAs observed the facility to be a comfortable temperature of 69 degrees and that the hot water in the kitchen measured at 118.8 degrees F. LPAs did not observe any obstructions to emergency exits or hallways/walkways. LPAs observed Administrator testing the facility's carbon monoxide alarm and smoke detectors and found them to be operational, and fire extinguisher is checked monthly and service is required August 2026. LPAs observed that sharp objects like knives and dangerous chemicals were in two locked cabinets in the kitchen, in a locked box inside the locked cabinet. LPAs toured the grounds of the facility and observed all exits to be unlocked and clear from obstruction.

Operational Requirements: LPAs observed the facility to be operating within their licensed capacity of 4 ambulatory residents, two of which may be non-ambulatory.