Facility Evaluation Report

Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced on 10/28/25 to conduct the annual inspection. LPA met with staff, Cynthia Davies who assisted LPA during today's inspection.

During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed two residents (2) and two staff files (2). All residents files contained the required paperwork. Staff file contained the required paperwork. Staff have current first aid and CPR training. Facility was clean and organized . All required postings were observed. Staff training contained the required initial and annual training.

LPA and staff toured the facility together to ensure the health and safety of residents in care. The areas toured included but not limited to residents rooms, bathrooms, kitchen, common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. All exits were unobstructed. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher is ready for emergency use . Water temperature is within compliance (106 degree F) .Inside temperature was observed to be 74 degree F. In the areas toured, there were no health or safety violations were observed.

LPA requested a copy of the LIC500, LIC610E and current liability insurance to be sent to the Department by 11/10/25.

No deficiencies were observed or cited during today's visit per Title 22 Regulations.

Exit interview conducted. A copy of this report was provided.