Facility Evaluation Report

On 09/11/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required 1 year annual inspection utilizing the care tool. LPA met with Administrator Carmen Ion and explained the purpose of the visit.

LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but are not limited to: resident bedrooms, bathrooms, common areas, kitchen, garage and backyard. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins, sharps and medications are locked and inaccessible to residents in care. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher, which is located in the kitchen, was last serviced on 03/11/2025. LPA observed required Licensing posters posted throughout the facility. First aid kit was maintained.

LPA reviewed four (4) resident files, which contains signed admission agreements, physician's reports, identification sheets, consent forms, and resident's rights. LPA compared medications to those being given for two (2) residents and found no discrepancies. LPA reviewed two (2) staff files. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility.

No deficiencies being cited during today's inspection.

Exit interview conducted and a copy of the report and LIC809G provided.