Facility Evaluation Report

At 9:50am, on March 5, 2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with backup administrator Michelle Latham, announced who he was and the reason for the visit.

Backup administrator and LPA conducted a full tour of the facility. This facility is a two story residential home with six resident bedrooms (two are dual occupancy) and four full bathrooms (three are en suite and one is for public use). On the ground floor are four of the resident bedrooms, a kitchen, medication room, and a living room with seating, TV, dining space, and self-contained fireplace for resident safety. There are two additional resident bedrooms downstairs, accessible via an elevator/lift to the living room and two outdoor routes, one of which is a wheelchair accessible ramp to the front of the facility. The laundry area is in a locking shed in the backyard. LPA noted that the backyard and a patio off the living room both have seating and shade for residents and visitors. LPA noted fresh fruit and snacks in the kitchen for residents to enjoy. The facility has battery operated smoke detectors in each room that are all working, there is a carbon monoxide detector on each floor functioning normally. LPA observed fire extinguishers throughout the facility, serviced on 9/30/2025. LPA observed at least 2 - days of perishable and at least 7 - days of nonperishable foods. LPA noted that the facility is in good repair with no obstructions in hallways, doorways or exits. Medications are locked in a closet. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records, finding no violations. LPA conducted a staff and resident file review.

LPA and backup administrator conducted a review of the annual care tool modules. There were no deficiencies cited at this time.

Exit interview conducted, report signed, and report provided to backup administrator.