Facility Evaluation Report

Licensing Program Analysts (LPA) Kesha Lewis arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA was met by staff. LPA explained the purpose of the visit to staff. Executive director joined about two (2) hours later.

LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place.

LPA observed, fire extinguishers inspected on 02/18/2025 and current, smoke and carbon monoxide detectors, central heating and air in the facility. The first aid kit was found in compliance.

LPA reviewed eight (15) staff files. All staff is fingerprint cleared and associated to the facility and staff have current First Aid or CPR certifications on file. Facility is conducting initial and continuing training as required.

LPA reviewed eight (20) resident facility files of which four (10) for memory care and four (10) were assisted living, COVID-19 Plan, and survey binder. All necessary documents were in place.