Facility Evaluation Report

On 11/20/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA Pascua met with House Manager (HM), Sheila Mcginty and explained the purpose of the visit. The purpose of visit was to conduct an annual visit.

Current census was 4. A brief interview with HM Mcginty was conducted.

This facility is licensed to served and accept up to 4 residents who are deemed to be non-ambulatory only. This facility is also vendorized to accept and retain Level 6 residents at this time.

LPA reviewed staff and resident files. All staff and resident files were complete and up to date. The facility designated administrator (FDA), Saudia Whitaker has an active administrator certificate #7034046735 and expires on 08/30/2026.

Tour of the facility was conducted. Smoke detector and carbon monoxide detectors were tested and observed to be in good repair at this time.

Fire extinguisher located by the dining room appeared to have been annually inspected on 03/19/2025.

Dining areas, living areas, and all other areas intended for resident use were toured. It was observed that furniture and furnishings were sufficient and able to meet the needs of the residents at this time.

Kitchen area was toured. Food storage units were reviewed for adequate 2-day perishable and 7-day non perishable quantities at this time. Additional non-perishable food supply was identified in the pantry.

LPA Pascua observed a locked centralized stored medication cabinet located in the living room. Along with Administrator, the LPA observed, reviewed, and compared resident medication with the medication dispensing logs. First Aid Kit was present and contained all of the required components.

A tour of the garage was conducted. Additional perishable and non-perishable food supple was identified. Additional storage for supplies were stored in cabinets. Additional incontinence supplies were also identified.