Facility Evaluation Report

On 03/02/26, Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to conduct the annual inspection. LPA met with Administrator, Danielle Shanklin who assisted LPA with today's visit.

LPA toured facility with to ensure the health and safety of residents in care. LPA toured residents rooms, medication room, bathrooms, kitchen, dining room, common areas and activity areas. 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. 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 106-111 in three different areas at facility was in required range 105-120 degree F. Facility was conducting fire and disaster drills and evacuation chair drills for stairwell per requirement.

LPA reviewed ten (10) residents files and six (6) staff files. Staff records reviewed indicated training completed and other required paperwork. Residents files found to have required documentation.

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.

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