Facility Evaluation Report

On 07/30/25, 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 DFA Valesia Cole 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 6. This facility is licensed for 6-non ambulatory residents and a hospice waiver granted for 2. LPA Hayes observed the refrigerator to be locked with a black bike lock.

A fire drill was held on 05/26/25 at 2pm for 1 hour. The drill included 3 staff and 6 residents.

LPA toured the facility with the DFA, Valesia Cole. The kitchen was accessible to residents and clean and sanitary. The LPA observed 7 days of non-perishable food supplies and did not observe 2 days of perishable food supplies. There were enough clean plates, cups and bowls and cutlery to meet capacity. LPA observed opened packages and storage containers with food items in the refrigerator were not dated appropriately. LPA observed a glass top stove in the kitchen. The bottom left “eye” was shattered. DFA stated the homeowner will be replacing the range.

The garage was not accessible to residents. LPA observed non-perishable food items, a freezer with frozen food and other storage items. The garage was clean and sanitary.