Facility Evaluation Report

On July 2, 2026, Licensing Program Analyst (LPA) Kevin Mknelly arrived unannounced at the facility to conduct a required annual inspection utilizing the inspection tool. LPA met with designee and explained the purpose of the visit. Administrator was unavailable to attend.

LPA recommended designees coordinate with Admin for detailed plan with caregivers in the event Admin advice is needed while Admin is away.

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. The home is very clean and residents stated they are happy with care.

Overnight awake ON caregiver appears to be needed for current residents

LPA reviewed 4 resident files. Files are complete and well organized. deficencies noted.

LPA reviewed staff files. Files are complete. increased training advised

LPA requested the following documents to update the facility file: Liability Ins certificate, LIC 500,

As a result of this inspection, the following deficiencies were cited on 809-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care

Exit interview conducted, a copy of report and appeal rights provided.