Facility Evaluation Report

Licensing Program Analyst (LPA), Alviso, conducted a Required - 1 Year Inspection, on 7/21/25, and met with Administrator David Hanna, and Resident Care Coordinator (RCC) Karrie Hanna.

Currently twenty-one (21) residents in care; There are two (2) residents are on Hospice. Hospice care waiver approved for eight (8) residents. Facility has a required infection control plan. Facility has a required emergency disaster plan.

LPA reviewed seven (7) resident files. All files were complete.

LPA reviewed five (5) staff files. All staff have required criminal record clearance. Per file reviews, staff have first aid certification and CPR certification. Staff have required training.

LPA toured the facility. There was a sufficient supply of cleaners/disinfectants, paper products, linens, and hygiene products. Facility had a sufficient supply of food. LPA observed residents' having their noon/lunch meal during the inspection.

The facility bathrooms had grab bars for resident use, including non-slip/textured flooring in showers for residents use as needed.

There was sufficient lighting in the facility, in common areas, bathrooms, and resident rooms checked, for residents use. Fire extinguishers were fully charged, serviced, and tagged as required.