Facility Evaluation Report

On 7/31/26, Licensing Program Analyst (LPA) Kyle Wellington arrived unannounced to conduct an annual inspection. LPA was greeted and granted entry by Caregiver, Marife Balabag, who was informed of the purpose of the visit. LPA met with Administrator (Admin), Daphne Drapeau, who arrived shortly thereafter and was also informed of the purpose of the visit. The census at the facility is six (6) residents. LPA received a staff and resident roster from Admin. LPA toured the inside and outside of the facility with Admin. LPA conducted an observation and record review for the inspection.

Facility Overview: Facility is a one story house with five (5) resident bedrooms, two (2) resident bathrooms, kitchen, dining room, family room, laundry room, office, staff room and attached garage. There are no pools, bodies of water or firearms at the facility. Facility has a rock cascading waterfall in the backyard that does not pose a safety risk to residents in care. Facility has a fire clearance for six (6) non-ambulatory adults of which six (6) may be bedridden. Facility was granted a hospice waiver for six (6) residents..

Infection Control: LPA observed hand sanitizers and soap dispensers throughout the facility. Cleaning equipment and additional cleaning supplies were kept in the locked garage and available for regular facility maintenance. LPA reviewed the facility’s infection control plan which met the department’s requirements.

Physical Plant: LPA observed the inside and outside of the facility to be clean, safe and well kept. The floors, windows and doors were clean and well maintained. The living room and dining room furniture was in good repair. The residents’ bedrooms were neat, organized and contained the required bedding, lighting and furniture. Bathrooms were clean, tidy and had paper towels, soap, grab bars and non-slip floors in the showers. Extra linen and towels were kept in closets in the hall. Laundry equipment appeared to be in good working condition. Laundry supplies were kept in the locked laundry room. One (1) fire extinguisher was charged and last tested on 7/25/26. LPA tested one (1) of the smoke and carbon monoxide detectors and