Facility Evaluation Report

At 8:00am on 02/26/2026, Licensing Program Analyst (LPA) Jeffries and arrived unannounced to the facility to conduct the annual facility inspection, additionally, LPA deliver final findings on a separate complaint during this visit. . LPA's met with Administrator, Christine Ave announced who they are and the reason for there visit. Administrator has a designation of Administrator on file, however needs to submit Administrator packet to transition to full time Administrator at this facility.

Administrator and LPA conducted a physical tour of the facility. This is a 6 bedroom 5 bathroom home with a side and back yard with ample space for residents and visitors. Four of the bedrooms are single resident occupancy and one bedroom is double resident occupancy and one bedroom is a staff bedroom. There is a living room, dining room and kitchen with and adjacent office and nook. LPA noted that the medications are stored and locked in the cabinet in the office adjacent to the kitchen and the complete first aide kit is also located in this office area. Emergency water is located in the garage and there is a staff room with day bed and chairs for staff. LPA noted that the facility has at least 2 days of perishable food supply and at least 7 days of non-perishable foods on hand for 6 residents and staff. LPA noted several fire extinguisher in the facility and garage that were all primed in the green reading. LPA's tested smoke detectors and carbon monoxide detectors to all be functional and working. LPA's noted that all passage ways are free and clear of obstacles. LPA's reviewed staff and resident files. LPA reviewed the facility infection control plan, emergency disaster plan, quarterly evacuation drills, and liability insurance. LPA also reviewed centrally stored medication records. LPA noted that no violations or citations were issued as a result of the facility physical inspection.

LPA's conducted a full review of the annual facility care tools. LPA noted that no violations or citations were issued as a result of the full review of the annual care tools modules. At this time there are no violations or citations issued on this annual facility inspection. Exit interview, report read, and report provided.