Facility Evaluation Report

At 9:00am, on 12/17/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Administrator - Jennifer Miller, announced who he was and the reason for the visit.

Administrator and LPA conducted a full tour of the facility. This facility is a single story residential home with six private resident bedrooms, each bedroom has a full en suite bathroom. There is also a public half bathroom down the west hallway. There is a living room with seating, a TV, and credenza with games and puzzles. Near the living room is a dining space and a kitchen. Access to the laundry room is through a locked door for resident safety. LPA noted that the backyard and the front yard 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 and wired smoke detectors in each room that are all working, the carbon monoxide detector is in the west hallway and functioning normally. LPA observed a fire extinguisher near the kitchen that was tagged current and in the green compression range, serviced on 11/21/2025. LPA tested facility hot water at 105*(f), within regulation temperatures 105*-120* (f). LPA observed at least 2 - days of perishable and at least 7 - days of nonperishable foods. LPA noted that the facility is clean and in good repair with no obstructions in hallways, doorways or exits. Medications are locked in an office located in the east hallway. 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 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 the Administrator.