Facility Evaluation Report

On 01/28/2026, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unannounced annual inspection. LPA met with Administrator, Beverly Carnate . LPA explained the purpose of the visit. The facility was under partial renovation at the time of visit.

LPA toured the facility to include the hallways, resident bedrooms, bathrooms, recreation room, dining room, kitchen, and exterior. All staff present are fingerprint cleared and associated to the facility. LPA observed all residents in the dinning room watching TV and exercise.

Backyard was fenced, secured, and in good condition. All outdoor and indoor passageway were free and clear of obstruction. No accessible bodies of water or fire safety hazards observed. Kitchen was inspected, sufficient supply of food observed. Infection control practices reviewed. Medications, toxins and sharps stored appropriately and inaccessible to clients, a comfortable temperature was maintained, hot water temperature inspected to be compliant, furnishing and lighting was sufficient for comfort and safety.

Carbon monoxide detector and smoke detector system inspected and met the requirements. fire extinguisher checked and fully charged. Facility has a written emergency disaster plan. Licensee has at least one completed first aid kit located in the office. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed.

No deficiencies were cited. Technical violation was noted for work order to fix one out of two water heaters. The report was reviewed and discussed with administrator. A copy of the report was left at the facility.