Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection and met with Designated Administrator (DA) Michelle White. LPA stated the purpose of the visit.

LPA toured the interior and exterior of the facility with DA to include but not limited to the kitchen, resident rooms, dining room, bathrooms, back and front of the facility. All exit and passageways were free and clear of obstruction.

LPA observed video surveillance of the courtyard/entrance to the facility. LPA observed cameras in the hallways of the facility. DA states the cameras are non-operational. DA states the courtyard/entrance is the only area with video surveillance in the facility.

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 refrigerator temperature at 36F and Freezer at -5F.

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. The smoke detectors were last inspected by a third party vendor on 3/14/2025 and passed inspection. Fire extinguishers were last serviced on 3/10/2025.