Facility Evaluation Report

On 11/20/2025, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility to conduct a inspection. LPA Campbell met with Gregory Gordon, Administrator and explained the purpose of the visit.

Upon entry to the facility, LPA Campbell observed a TV room with seating for residents. A See Something Say Something poster was in the room and easily viewable for residents and visitors.

Staff guided LPA Campbell to the kitchen to work. The Ombudsman poster was observed in the kitchen with contact information. The temperature at the kitchen sink was 116 degrees Fahrenheit. The freezer temperature was -01 degrees Fahrenheit (F). The refrigerator temperature was 36 degrees F. Storage for resident medication is kept in the kitchen and kept locked and inaccessible to residents. The laundry room is also in the kitchen. Residents bring the clothes to be washed, and staff handle adding the detergent, which is kept in a locked cabinet above the washer.

The facility is a single story building licensed to serve 16 residents who are ages 18 to 59. Those who reside in the facility will be ambulatory only. Currently, there are 14 people residents in the facility. In the two bedrooms observed in the facility, both contained a bed, chest, lamp and night stand as well as a closet. Beds were made with blankets, sheets and pillows. Floors were free of obstacles.

Per the administrator, there are 4 staff working in the facility in all. There is 1 staff member who resides in the facility. LPA Campbell observed the staff living area which included a bedroom and separate bathroom and office. During a tour of the facility, LPA Campbell observed a thermostat set at 68 degrees F. The 4 bathrooms in the facility were found to be clean and free of odor. The fire extinguisher was last inspected 10/06/2025 and was fully charged.