Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection and met with Administrator (ADM) Michelle Bayquen. LPA stated the purpose of the visit. ADM states the facility has 2 residents. LPA observed 1 resident and 1 staff.

LPA toured the interior and exterior of the facility with ADM to include the kitchen, resident rooms, dining room, bathrooms, back and front of the facility. All exit 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 kitchen cabinets and drawers to have dark areas around the handles, and spider webs hanging from light fixtures and overhead cabinets. LPA observed the chemicals and knives storage areas were not locked and accessible to residents.

The facility was equipped with smoke and carbon monoxide detectors. All smoke detectors functioned properly when tested by ADM. Fire extinguishers were last serviced on 8/13/2025. ADM stated she did not have documentation of fire drills.

LPA inspected 2 resident bathrooms. LPA observed the bathrooms did not have hand-soap and paper towels. LPA advised ADM to ensure resident bathrooms have hand-soap and paper towels. LPA observed dark stains in the resident showers, and brown staining on the sinks and around the toilets. LPA also observed cobwebs throughout the bathroom ceilings.