Facility Evaluation Report

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced annual required visit. Upon entry, LPA was greeted by Stenia Shubin, CC3, and informed them of the purpose of the visit. At the time of the visit, there were two (2) staff members and six (6) residents present. Melissa Morford, Residential Supervisor, joined later during the inspection.

Facility Overview: The facility is a two-story home with three (3) bedrooms and four (4) bathrooms, including an attached garage. There is a swimming pool covered with safety net. There are no known firearms on the premises.

Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility has infection control plan in file.

Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. LPA obtained and reviewed fire safety test log dated 4-14-2026. Fire extinguisher located at kitchen has current inspection tag.