Facility Evaluation Report

At 10:38am, on 10/9/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Licensee/Administrator Dexter Price, 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. On the first floor there are four resident bedrooms (two are single occupancy, two are dual occupancy) and one full shared/public bathroom. There is a living room, dining area, and a kitchen. Access to the laundry room and garage is through locked exterior doors for resident safety. The second floor is for staff only and contains three staff bedrooms and a full bathroom. LPA noted that the backyard has seating and shade for residents and visitors. LPA noted fresh fruit and snacks on the dining table for residents to enjoy freely. The facility has battery operated dual smoke/carbon monoxide detectors in each room that are all working. LPA observed a fire extinguisher near the dining area that was tagged current and in the green compression range, serviced on 4/18/2025. LPA tested facility hot water at 110*(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. Staff/resident files and medications are locked in a cabinet in the dining area. 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 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.