Facility Evaluation Report

On 07/10/2025, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility to conduct a Post Licensing visit. LPA Campbell met with Nadia Falconer, Caregiver and explained the purpose of the visit. Kenroy Anderson, House Manager was also present.

LPA Campbell observed two residents (R1 and R2) who shared a room next to the kitchen and another resident whose room was in the front of the community (R3). One resident (R1) was able to walk with the assistance of a walker. R1 was observed leaving and entering their room several times without staff assistance during the visit. R3 walked throughout the facility with ease and without assistance. Per R1’s 602, R1 is ambulatory and is capable of self-directed movements. R1 shares a room with R2 who is able to walk but required staff assistance to the dining room table due to being legally blind. When staff asked her if she wanted to move to, R2 would agree and raise her hand for assistance to move. Per R2’s IPP, they “need supervision and guidance both in and out of the home” because of their vision impairment. Currently, R2’s room is for ambulatory residents. It has a sliding glass door and has an exit which requires a step down to the patio outside. .

An interview with the resident’s Service Coordinator and staff further confirmed that R1 would be unable to evacuate the facility without staff assistance in the event of an emergency, due to both declining mobility and visual impairment. Based on these findings, R1 is considered non-ambulatory. This classification is supported by the physician’s report, which states that a resident is deemed non-ambulatory if they are unable to respond to sensory cues physically and mentally.