Facility Evaluation Report

On 08/06/25, an unannounced annual inspection was made to this facility by Licensing Program Analyst (LPA) Sommer Hayes. The LPA identified themselves and the purpose of the visit and asked to speak to the Designated Facility Administrator (DFA). LPA was met by a caregiver. The Administrator, Michael Jankowski and Designated Facility Administrator (DFA) Mary Rose Jankowski arrived shortly after, and a brief interview followed.

LPA was allowed entry into the facility that is licensed to serve a total capacity of 6 residents. The current census is 5. This facility is licensed for 6 non-ambulatory residents and a hospice waiver granted for 6.

A fire drill was held on 03/15/25 for 10.5 minutes. The drill included 2 staff and 4 residents. LPA observed there was no time noted on the log for fire drills.

LPA toured the facility with the Administrator, Michael Jankowski and DFA with Mary “Rose” Jankowski. The kitchen was accessible to residents and clean and sanitary. The LPA observed 7 days of non-perishable food supplies and observed 2 days of perishable food supplies. LPA Hayes also observed a delivery of food during this visit. There were enough clean plates, cups and bowls and cutlery to meet capacity.

The garage was not accessible to residents. LPA observed the storage of incontinence supplies, washer and dryer and a small storage with a door. Inside LPA observed more incontinence supplies.

The facility living room was clean and free of obstruction. The room temperature reading was 73 degrees Fahrenheit which fell within the Title 22 regulations of 68-85 degrees Fahrenheit. The seating is efficient for the number of residents in this facility.