Facility Evaluation Report

On 08/4/2026, Licensing Program Analyst (LPA) Toni Nwala made an unannounced visit to the facility to conduct a required annual inspection. LPA were greeted and granted entry by caregiver Alicia Sical who was informed of the purpose of the visit. At the time of visit there were four residents home.

LPA toured the facility and reviewed records. During the tour, LPA observed the facility is made up of a one (1) story home with four (4) resident bedrooms, two (2) bathrooms, a living room, dining room and office/laundry room. All client bedrooms had the required furniture and lighting. LPA toured the facility's exterior and observed outdoor pathways were free of obstructions. Outdoor shaded seating area is available for the residents in care. LPA observed a hallway cabinet filled with clean towels, blankets, and linen, available for the residents. LPA toured the kitchen and observed the facility has a 2-day supply of perishable foods and more than a 7-day supply of non-perishable foods, which are stored in a safe and healthful manner. LPA observed knives and sharp instruments secured in locked kitchen cabinets. Cleaning solutions and disinfectants are secured in the garage. Caregiver tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed two (3) charged fire extinguishers mounted throughout the facility with an inspection date of March 11, 2026. Medications are secured in a locked cabinet stored in kitchen area. Water temperature was tested and within regulation

LPA reviewed the Medication Administration Record along with the physical medications and did not discover any discrepancies. LPA reviewed resident files and observed residents had signed admission agreements. Exit signs, emergency contact information, client's personal rights, and complaint information are visibly posted throughout the facility .

During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted, and a copy of this report was reviewed and provided to Caregiver Alicia Sical.