Facility Evaluation Report

Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with Patti Fesseha, Administrator (ADM). LPA announced the purpose of the visit. LPA observed 2 staff and 5 residents.

During visit, LPA toured the facility inside and out. LPA toured the garage which is converted to a kitchen with stove and cooking area and pantry. LPA observed the separate kitchen area and observed locked cabinets for medications, sharp objects, and cleaning supplies. LPA observed perishable food supply of at least two days and a non-perishable food supply of at least seven days. Refrigerator temperature displayed on refrigerator 37 degrees f and freezer at 0 degrees f.

LPA toured 5 resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. LPA toured two out of two resident bathrooms. Each bathroom had available soap and paper towels and functioning lights. The water temperatures in the bathroom sinks measured with thermometer at 115.1-115.5 degrees F.

During visit LPA observed Staff S1 was not associated or fingerprint cleared and living at the facility. ADM stated S1 started on 12/18/25. ADM stated fingerprint live scan was just done on 12/18/25. ADM verified new staff has been providing care to residents since 12/18/25.