Facility Evaluation Report

Licensing Program Analyst (LPA) Hansen arrived unannounced to conduct an Annual Required inspection and was greeted by staff who contacted Administrator Katie Franco, that arrived shortly after. Facility is a two story building only licensed on first story. There is 6 beds and 7 bathrooms in this residential care facility for the elderly that has a fire clearance for 6 Non-ambulatory of which 2 may be bedridden. Facility also has a hospice waiver approved for 3. At today’s inspection there were 6 residents in care with 2 have dementia diagnosis & 2 on hospice.

LPA initiated a tour of the facility around 10am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Exits were equipped with auditory devices which were activated and working properly at the time of the visit. Resident rooms were furnished per regulation. Water temperature in 3 of 7 bathrooms tested used by residents measured between 118 and 119.5 degrees F, with in range of 105 to 120 degrees F allowed per regulation. Bathrooms were equipped with necessary grab bars, and slip-resistant mats, strips, or flooring in all bathtub and shower floors as required by Title 22 regulations. Extra hygiene products and linens were available. Cabinets containing cleaning supplies were locked. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications were centrally stored. Emergency food and water supplies are stored in the garage along with Personal Protective Equipment.

Fire extinguishers were last serviced 6/4/2025. Smoke and Carbon Monoxide detectors located throughout the facility were operational during inspection. Disaster drills are conducted quarterly with most recent fire/disaster drill conducted 7/16/2025.