Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with staff, Jannatt Namale, stating the reason for today's inspection. LPA spoke to the Administrator by phone who had a scheduled appointment and was not able to be present. LPA observed (1) resident walking in the common area and was advised (3) residents were resting in their rooms. There are currently (4) residents. The facility is licensed for (5) non-ambulatory residents, (1) bedridden resident and has a hospice waiver for (3) residents. Currently, no residents are under hospice care.

LPA and the lead caregiver toured the interior/exterior of the facility including the common areas, (3) private resident bedrooms, (2) shared resident bedrooms, (2) resident bathrooms, staff room, kitchen, and laundry area. LPA observed the facility to be clean, in good repair and without any odors. All bathrooms have the necessary grab bars, non-skid flooring, and hygiene supplies. There is sufficient 2+ day perishable, including fresh produce, and 7+day non-perishable supply of food. Sharps and medications are locked in the kitchen and toxins are locked in the laundry room. Hot water measured 114*F in the kitchen. Inside temperature measured 78*F. Fire extinguishers were last serviced on 8/12/25, and smoke/monoxide alarms are functioning. All exits have an auditory alert when opened. There are sufficient linens, towels, blankets, paper/PPE products and games/activities. There are (2) unlocked exit gates, shaded seating and no pools/fountains. LPA reviewed (4) staff and (2) resident files. Files were organized and contained current documents. Staff has completed initial training and will complete continuing training by 8/31/26. First Aid/CPR certifications are current and there is a complete First Aid kit. RCFE Administrator certificate #7030662740 (exp 6/4/27). Required posting are visible in the common area. Requested current copy of insurance by 7/7/26.

There are no citations issued in this report. Exit interview. Copy of report printed.