Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection and met with Licensee Christina Williams. LPA stated the purpose of the visit.

LPA toured the interior and exterior of the facility with Licensee to include the kitchen, resident rooms, dining room, bathrooms, back and front of the facility. All exits and passageways were free and clear of obstruction.

LPA toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. The facility was equipped with smoke and carbon monoxide detectors. All smoke detectors functioned properly when tested by Licensee. Fire extinguishers were last serviced on 11/7/2024.

The facility emergency drill log was reviewed. The facility's last drill was on 10/15/2025. LPA toured 3 resident bedrooms, each have a bed, functioning lights, dresser/table, bedding and space for personal belongings. LPA toured 2 bathrooms. All 2 bathrooms had hand soap, paper towels, functioning lights, and covered trash bins. LPA measured water temperature with a range of 115.7 F to 118 F.

LPA reviewed 3 resident records and 1 resident’s Centrally Stored Medication and Destruction Records (CSMDRs).