Facility Evaluation Report

Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to conduct a case management annual continuation visit, utilizing the inspection tool. LPA met with Executive Director (ED), Deborah Taylor and explained the purpose of the visit.

During today's inspection, LPA and ED conducted a tour of the interior of the facility to ensure the health and safety of residents in care. Areas toured included but not limited to: residents bedrooms, bathrooms, dining area, kitchen, activity rooms, medication room and the common areas. LPA observed residents bedrooms to have the required furnishing. LPA observed residents showers to have nonskid strips present. LPA observed facility temperature to be at a comfortable temperature of 74*F. LPA observed access to the kitchen to be locked with pin code entry. Kitchen was observed to be clean and free of pest. LPA observed ample supply of perishable and nonperishable foods available for residents in care. LPA observed exits to be free of obstructions. LPA observed activities available in the common areas for resident social interactions. LPA observed medication room to be occupied with medication technicians, assisting residents in care. In areas toured, LPA observed facility to be clean and in good repair. No immediate health, safety and/or personal rights violations was observed.

File review was conducted for five resident records and five personnel records. LPA observed the required documents signed and completed on file. At this time, LPA is requesting a copy of facility liability insurance to be emailed to LPA by Friday, August 8, 2025.

CARE tool was completed and no deficiencies was cited.

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