Facility Evaluation Report

On 03/12/2026 at approximately 12:25PM, Licensing Program Analyst (LPA) Ali Deniz arrived unannounced at this Residential Care Facility for Elderly (RCFE) for the purpose of conducting a Required 1-year inspection. LPA was greeted at the door by Licensee, April Thomas, and was granted access into the facility. Facility has an approved fire clearance and capacity for five (5) non-ambulatory residents and one (1) ambulatory resident. Upon arrival, LPA was informed that there were five (5) residents in care and three (3) staff members on-site. Facility is a 1 story building with 4 Resident bedrooms, 2 bathrooms, one (1) staff room, and common spaces.

At approximately 12:45PM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation.

At approximately 1:10PM, LPA and Licensee toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within the regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. During the kitchen tour LPA observed nineteen (19) expired food cans (Technical Advice given). Toxins are stored in a locked housekeeping closet in the hallway. There was one (1) locked shed in the backyard for storage. Water temperature measured within regulation between 105- and 120-degrees F at faucets accessible to residents. Fire extinguishers were bought on 03/12/2024 and never has been inspected (Technical Violation given). Licensee agrees to get fire extinguishers inspected as soon as possible. Smoke and Carbon Monoxide detectors were present and operational. There was enough lighting in all common areas, resident rooms, and hallways. Facility had emergency lightning supplies. Medication is centrally stored and secure in the closed in hallway. At resident bathroom number four (4) LPA observed unsecured oxygen tanks (Technical Violation Given).