Facility Evaluation Report

On 02/05/26, Licensing Program Manager (LPM ) Laura Munoz and Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to conduct the annual inspection. LPM and LPA met with Administrator, Preston Summerhays and explained the purpose of today's visit.

LPA and LPM toured facility with to ensure the health and safety of residents in care. LPA and LPM toured resident’s rooms, medication room, bathrooms, kitchen, dining room, common areas and activity areas. LPM and LPA observed residents in common areas participating in activities and in the dining room having lunch. The facility was found to be clean, safe, sanitary and in good condition. LPA and LPM observed the facility to have the mandated posters posted. Fire extinguishers are maintained and ready for emergency use. Facility has required food supplies. There are appropriate staff present to meet the needs of residents. Inside temperature was 72–74-degree F. Hot water measured between 116-118 in two different areas at facility was in required range 105-120 degree F.

LPA and LPM reviewed five (5) residents files and five (5) staff files. Staff records reviewed indicated training completed and other required paperwork. Resident’s files found to have required documentation. LPM, LPA observed that medications were secured and were inaccessible to residents.

LPA completed the full care tool, and no deficiencies were observed or cited per Title 22 Regulations.

LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by 02/25/26.

Exit interview conducted and a copy of the report was left at the facility.