Facility Evaluation Report

At 10:00am on 09/08/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the facility annual inspection. LPA met with Administrator, Elliot Stiller, announced who he is and the reason for the visit.

This facility is a four bedroom, 3 bathroom, two large living rooms, large dining room, kitchen, and larger back yard. The back yard had many trees for shade and a bench for seating. Medications are located in a locked closet near the entrance way of the facility. Administrator and LPA conducted a physical tour of the interior and exterior of the facility. LPA noted that the facility is on a large parcel and has municipal water and sewage service. This is noted due to the extended questions place on care tools. LPA test water temperature in several areas of the facility; Bathrooms and laundry room faucets were all in regulation compliance. Water temperature at the kitchen exceeded regulations requirements and a citation was issued (80088(e)(1). LPA noted that there are two water heaters in the facility, both water heaters do no have a water temperature control gage. Administrator to address adding water temperature control gages in plan of correction. LPA noted that client bedrooms are furnished according to regulation requirements. LPA noted that there are at least 7 days of perishable foods and at least 2 days of non-perishable foods on hand for 4 clients and staff. Facility has a complete First Aide kit located in the facility pantry closet. LPA noted two fire extinguisher located at different points of the facility both primed and in the green. LPA noted that all passage, door ways and exits were free and clear of debris. LPA noted that the facility in clean in and in good repair. LPA conducted a cursory review of client files, staff files and training, Centrally Stored Medications Record (CSMR), Emergency Disaster Plan, and Infection control plan. LPA noted that one citation was issued during the physical facility inspection (80088(e)(1).

Administrator and LPA conducted a full review of the annual care tools. No other violations or citations were issued as a result of the full review of the annual care tools.

Exit interview, report read, citation issued, appeal rights and report provided.