Facility Evaluation Report

on 04/27/26, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to conduct the annual inspection. LPA identified herself upon arrival, stated the purpose of the visit, and asked to meet with the Designated Facility Administrator. LPA was met by staff and the Administrator, Patrick Ofose, arrived approximately 30 minutes later.

LPA observed that Administrator Certificate, # 7012282735 expires on 02/22/27 and was in compliance.

While waiting from the Administrator, the LPA began a document review. LPA compared Guardian Roster to the staff schedule to ensure that all staff had the required background clearances. All were in compliance at the time of this inspection. LPA then proceeded to conduct a file review. LPA reviewed 2 staff and 2 resident files, all were in compliance at this time.

The kitchen was then inspected and this LPA observed a 2-day perishable and 7-day nonperishable food supply. All knives and sharps were locked and inaccessible to residents in care. The fire extinguisher was last inspected by Fire Code Safety Equipment on 08/06/25 and was in compliance at the time of this inspection.

LPA inspected all common areas in addition to the resident rooms. All had the required furniture, furnishings and lighting to be in compliance at the time of this inspection. Each resident room was equipped with a lock for privacy. The (2) resident bathrooms were inspected. LPA observed soap and paper towels in each. The hot water was measured to ensure it was within the range of 105 - 120 degrees Fahrenheit. Hot water measured 107.8 degrees Fahrenheit during this inspection.