Facility Evaluation Report

At 7:52am, on 3/19/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Licensee/Administrator Deborah Starling, announced who he was and the reason for the visit.

Licensee and LPA conducted a full tour of the facility. This facility is a two-story residential home with five resident bedrooms (one is dual occupancy), a full public bathroom, and a staff bedroom with en-suite full bathroom all on the second floor. On the first floor is a living room with dining space and self-contained fireplace, a kitchen, a half public bathroom, family room and office. Access to the laundry room and garage are through locked doors 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 freely. The facility has battery operated smoke detectors in each room that are all working, the carbon monoxide detector is in the kitchen and functioning normally. LPA observed multiple fire extinguishers in the facility that were tagged current and in the green compression range, serviced on 3/18/2026. LPA tested facility hot water at 118.8*(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 has no obstructions in hallways, doorways or exits. Medications are locked in a medication cart. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records, finding no violations. Staff and client files are locked in the office. LPA conducted a staff and resident file review.

LPA and Licensee 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 Licensee.