Facility Evaluation Report

On 06/18/2025 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 Violet Mubeezi and explained the purpose of the visit.

LPA reviewed five (5) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights. LPA reviewed one (1) staff file. A review of staff records indicates that facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current training completed.

LPA and Administrator conducted a tour and the interior and exterior of the facility areas toured include but not limited to resident bedrooms, bathroom, laundry room, kitchen, common areas and backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. 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, cleaning supplies and knives are locked and inaccessible to residents in care. Fire extinguisher was last inspected on 10/30/2024. LPA observed fire detectors and carbon monoxide detectors to be operable. LPA observed required Licensing posters posted throughout the facility.

No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of the report and LIC809G was left at the facility.