Facility Evaluation Report

Licensing Program Analyst (LPA) Correia arrived unannounced to conduct the facility’s Required Annual Inspection. Upon arrival, LPA met with Executive Director (ED) Watkins, confirmed her identity, and explained the purpose of the visit. Per the facility license, the home is approved to serve up to six (6) residents, all of whom may be non ambulatory. The facility also has delayed egress approval and maintains a hospice waiver for six (6) residents.

LPA reviewed staff files, resident records, and facility documentation. All required documents were present, complete, and current. The most recent disaster drill was held in February 2026, and liability insurance coverage was verified as active.

A comprehensive tour of the interior and exterior areas was conducted with ED Watkins. The facility appeared clean, well maintained, and free of hazards. Walkways were clear of obstructions. Resident bedrooms contained the necessary furnishings and were observed in good condition. All doors, windows, bathrooms, and shower areas were functional and equipped with appropriate safety features. The home provided adequate space and equipment for dining, activities, laundry, and visitation.

Kitchen and dining equipment were available and in good working order. No sharps or toxic items were accessible to residents. Medications were properly labeled and secured inside a locked medication cart. Hot water temperature measured with in regulation.