Facility Evaluation Report

On 10/6/2025, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced 1-year required visit. LPA met with Administrator, Kylee Carter, and explained to Kylee the purpose of the visit. Administrator Kylee granted LPA entry to the memory care facility. During the visit, LPA conducted a tour of the facility and observed the following:

The facility is a two-story structure which consist of (61) sixty-one units. The facility is licensed for (126) one hundred and twenty-six non-ambulatory residents to which (20) twenty may be bedridden on the first level only. The Licensee was observed to be operating with their scope. LPA observed kitchen to be clean and free of rubbish. Food is stored in a safe and healthful manner by ensuring all food items were properly dated and free of mold. Utensils and dishware are sufficient for the approved capacity. LPA observed food supply met the requirement for a (2) two-day supply of perishable food and (7) seven-day supply of non-perishable food. Sharps are secured in the locked kitchen and inaccessible to the residents. During the visit, LPA observed food staff preparing food. All persons engaging in food preparation and service were observed to maintain personal hygiene and proper sanitation practices to protect the food from contamination. Indoor/outdoor passageways were observed to be free of obstruction. Fire extinguisher is charged and up to date. Resident bedrooms were observed to be equipped with the required bedding, furniture, seating, and functional lighting. Resident bathrooms were observed to have working toilet, sinks, and were equipped with a grab bar in the shower and toilet areas.LPA observed laundry room to be clean and inaccessible to residents as it housed cleaning supplies. Washing machine and dryer were observed to be in good repair. LPA observed sufficient amount of extra towels and linen located in the laundry room.