Routine inspection·March 11, 2026

On 3/11/2026 at 10:45 AM, Licensing Program Analyst (LPA) Y. Brown conducted an unannounced annual 1-year required inspection. LPA met with Executive Director Kathleen McCarron and explained the purpose of the visit. The administrator currently holds a certificate (# 7002969740 ) that expires on 2/3/2028. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, and back yard. All indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature for clients is maintained at 73 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in a random sample of residents rooms were measured at 118.3, 115.3, and 107.4 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for residents. Smoke detectors and carbon monoxide combination were in operating condition during visit. Fire extinguisher was last purchased on 3/2/2026. First aid kit was observed to be complete. LPA reviewed five (5) staff and five (5) client records. LPA reviewed a sample of medication. Continued on LIC809C. Continued from LIC809. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 3/18/2026: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan No deficiencies cited during today's visit. Exit interview conducted with Kathleen and a copy of this report provided.