Facility Evaluation Report

Licensing Program Analyst (LPA) Toni Nwala and LPA Seo Jeon conducted an unannounced annual required visit. Upon entry, LPA was greeted by Lalaine Campbell, Administrator, and informed the administrator of the purpose of the visit. At the time of the visit, there were two (2) staff members and four (4) residents present. The facility is a one-story home with three (3) bedrooms and three (3) bathrooms, including an attached garage. There are no pools or known firearms on the premises. LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements. The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 106°F. Fire extinguisher located at kitchen wall and has purchase tag dated 1-10-2026. The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. LPA reviewed files for four (4) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Four resident files were reviewed and contained all required documentation