Facility Evaluation Report

On 03/26/2025 Licensing Program Analyst (LPA) Ivan Avila arrived at the facility unannounced to conduct a 1-year annual inspection and met with Lana Carley and explained the purpose of the visit. LPA Avila and Administrator toured facility together. There are currently no clients residing at the facility.

Kitchen: The kitchen appeared clean and the appliances and fixtures functional during the time of visit. The LPA observed a sufficient supply of perishable and non-perishable food at the facility; Sharp objects are stored in a locked area. Water temperature measured within the required range. Bedrooms: The LPA observed resident bedrooms furnished with at least one night stand, bed, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, and blankets. Bathrooms: The LPA observed the resident bathrooms to be clean, and properly supplied. Residents have sufficient supplies for personal hygiene products. Common Areas: These included but are not limited to the living area, activity area, and dining area. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. In the areas toured no immediate health, safety, or personal rights violations were observed. Surrounding Grounds (Outdoors) : The LPA observed appropriate outdoor furniture, with a covered shaded area for residents. Pool is surrounded by a five foot fence making it inaccessible to residents in care. Record Review: A review of facility files was initiated. The LPA reviewed two (2) staff files. All documents reviewed appeared complete and current. Medications: During the facility visit a medications review was initiated. Facility currently has no clients or medications. No deficiencies cited during today's visit. Exit interview conducted and a copy of the report was provided.