Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with lead staff, Yasmin Bennett and staff Vetelan "Janet" McCubbin. Administrator, Bali Rai, arrived shortly to the facility. LPA observed (1) resident in the common area and (4) residents in their rooms at the start of the inspection. The facility is licensed for (3) bedridden residents, (3) non-ambulatory residents and is approved for (6) hospice residents. Currently, there are (0) residents under hospice care.

LPA and Administrator toured the interior/exterior of the facility including the common areas, (4) private resident bedrooms, (1) shared resident bedroom, (3) full resident bathrooms, (1) half resident bathroom, kitchen, laundry/garage. LPA observed the facility to be clean, in good repair and be odor free. Bathrooms have the necessary grab bars, skid-resistant flooring, and hygiene supplies. There is a non-audio camera in common areas. There is 2+day perishable, including fresh produce, and 7+ day non-perishable food. Sharps, medications and toxins are secured in the kitchen, and additional toxins are locked in the laundry area. Hot water measured 114*F in the kitchen. Inside temperature measured 72*F. Smoke/monoxide alarms are working- the fire door automatically closed when the alarm sounded. There is a new fire extinguisher on site and a second one will be serviced today. There is (1) unlocked exit gate and covered patio seating.

(2) resident files and (3) staff files were reviewed. Files were organized and contained current documentation, including the initial/ongoing staff training. Medications/orders were reviewed for (2) residents- orders match medications being administered. Administrator has current RCFE certificate # 7024835740 (exp 3/22/27). Staff are cleared/associated and have current First Aid/CPR per requirement. LPA obtained current insurance information and requested an LIC308 and LIC500 to be emailed to LPA 4/1/26. There were no deficiencies observed. Exit interview. Copy of report provided to the Administrator.