Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra conducted an unannounced Annual Required Inspection and met with Licensee Nicholas Ray. Licensee informed of outstanding fees of $247.50.

LPA/Licensee initiated a tour of the facility at 9:00 am. Facility passageways were free of obstruction and comfortable temperature. Smoke detectors and carbon monoxide was tested and operational. Two fire extinguishers were charged and serviced November 2024. Working auditory alarms are placed on all exits. Disinfectants and cleaning solutions were stored inaccessible to residents. Hygiene and bedding supplies were available. The facility has supplies of non-perishable foods for a minimum of one week and perishable foods for a minimum of two days maintained on the premises. Last disaster drill have been conducted within the last quarter (6/1/25). Required postings were observed. During tour of the facility LPA/Licensee observed a intake vent that needs cover located in the hallway leading to bedroom #4 (technical violation issued).

At approximate 9:15 am LPA/Licensee observed hot water temperature measured at 129.9 and 134.8 degrees F which is not within the range allowed per regulation. Licensee adjusted water heater immediately. At approximately 9:30am LPA/Licensee had a conversation regarding no activities were conducted during LPA's visit. According to Licensee, there are some residents that go out for a quick walk, but there are others that no have any interest on doing them (technical violation issued).