Facility Evaluation Report

On 2/4/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Mark Williams, Administrator and explained the purpose of the visit. Delphine Williams, Licensee arrived later during the visit.

LPA toured the physical plant. This is a 1-story building with 5 bedrooms (4 for residents and 1 for staff), 2 bathrooms, a dining room, kitchen, living room, front and backyards, etc. No accessible bodies of water or hazards were observed in hallways or the front or back yards. The facility's fire alarms and Carbon Monoxide detector were observed to be in working order. The facility's first aid kit was observed to have all required items. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. The facility's hot water was measured between the required 105-120 degrees Fahrenheit.

All sharp objects, soap, detergents, and poisons were observed to be locked and in-accessible.

A review of Centrally Stored Medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility.

LPA requested a copy of the facility's updated Plan of Operation by 2/13/2026. While at the facility, LPA collected the facility's transportation policy, Administrator certificate, and Liability Insurance.

No deficiencies cited during today's visit.

An exit interview was conducted. A copy of this report was provided to the facility representative.