Facility Evaluation Report

On April 3, 2025, at 1:15 PM Licensing Program Analyst (LPA) Kayla Adkison arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met administrator Naitasha Peerman (cert #6074069740 exp.01/15/2027) and explained the purpose of the visit. Administrator certificate is current.

LPA Adkison and administrator toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to four (4) resident rooms, common areas, (5) bathrooms, kitchen, medication room and facility exterior. In the areas toured no immediate health, safety, or personal rights violations were observed. Staff and resident files were reviewed. Medication is kept in a locked room.

The common area was clean, odor-free and in good repair. All bedrooms had required furniture, bedding, and lighting. The bathrooms were clean and in good repair. The kitchen was clean and in good repair. A 5-week menu is posted. Sharps are kept in a locked drawer. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food.

The facility was observed to be at a comfortable temperature. First aid kit fully stocked and ready for emergency use. Fire extinguisher fully charged. Smoke detectors sound directly to the fire department. Hot water temperature measured within required Title 22 regulations of 105 degrees F and 120 degrees F. All employees requiring background checks are cleared. There is a schedule of activities posted for the clients.

No pools/bodies of water are on the premises. No firearms are on premises. The last disaster drill was conducted and documented on January 18, 2025, the facility has been conducting drills every (3) three months.

The facility is in compliance. No deficiencies are being cited as a result of today’s inspection.

Exit interview conducted and copy of report was provided to administrator, Nataisha Peerman.