Facility Evaluation Report

On 5/14/2026 Licensing Program Analyst (LPA) E. Conchas made an unannounced visit to the facility to conduct an annual required inspection. LPA was greeted and granted entry by the caregiver Desiree DuBois and accompanied LPA throughout today's inspection.

LPA verified contact information for the facility and will update the land line accordingly. A file review was conducted, and the facility annual fees are due in this upcoming month of June. Below are the observations made during today's visit:

The facility was observed to have the required postings: CCL complaint poster, license and emergency disaster plan. LPA observed for the facility to possess signed acknowledgment forms. The facility was observed to be clean and clutter free. The food supply was observed to be adequate, with a 2-day supply of perishable and a 7-day supply of non-perishable food items. The facility was observed to have fully charged fire extinguisher with the tag intact and was last serviced on 07/17/25. The emergency disaster drills was last conducted on February 2026. There are no guns and ammunition on the premises. The smoke and carbon monoxide detectors were tested and found to be operable. The sharps, chemicals and medications were observed to be locked and inaccessible to clients in care. The hot water temperature was tested and measured to be between 116.9- 122.1 degrees Fahrenheit.

The client bedrooms were observed to have the required furniture (chair, bed, lamp). File review was conducted of staff and client files, and the staff were in possession of valid CPR certification, and the administrator on record, Iren Creighton, was observed to possess a valid certification that expires on 10/29/2026.