Routine inspection·February 4, 2026

On February 4,2026, Licensing Program Analyst (LPA) Deborah Lee conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Angelique Gradney and explained the purpose of today’s visit. The facility is licensed to serve (6) residents ages 60 and above. Of which (5) may be non-ambulatory and (1) Bedridden. Approved hospice waiver for (1). Currently the facility has (4) residents. Structure: The facility is a single-story structure located in a residential neighborhood. It consists of (5) resident bedrooms, (3) full bathrooms, kitchen, dining area, living room, and patio area with shade located in backyard. The facility entrance and exits are wheelchair accessible. The facility has (1) garage that is utilized for supplies. Physical Plant: LPA Lee and the Administrator toured the physical plant. There were no bodies of water or obstructions on the premises. The facility is clean, safe and sanitary. Page 1 of 3 Bedrooms: LPA inspected all 5 bedrooms; the mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathroom s: Toilets and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries are accessible to residents. LPA tested hot water temperature, and it measured between 105- and 120-degrees Fahrenheit. Required Postings : LPA observed all required documents posted throughout the facility. The facility has a working landline telephone. Kitchen LPA inspected the kitchen and observed all appliances to be in good working repair, including stove/oven, microwave, dishwasher, refrigerator. LPA observed an ample supply of cutlery, pots, pans, and bowls to be in good repair. LPA observed knives and additional sharps to be secured in locked drawer in the kitchen and are inaccessible to residents. LPA observed a 2-day supply of perishable foods, and a 7-day supply of non-perishable foods properly stored, packaged, and labeled. Page 2 of 2 Safety LPA observed 1 fully charged fire extinguisher inspected on 9/12/25. The last emergency drill was conducted on 1/5/26. Smoke detectors test and was operable File Review: LPA reviewed 4 resident files and found that 4 out of 4 had the required documents. LPA reviewed 3 staff files and found that 3 out 3 had the required documents, training, and certifications. Medications LPA observed all centrally stored medications secured All medications were observed in their original packaging. LPA reviewed a copy of the facility’s Liability Insurance with expiration date of 8/19/26 Infection Control LPA observed required infection control signs posted throughout the facility. LPA observed sanitizing stations throughout the facility. LPA observed an ample supply of cleaning supplies Disaster Preparedness: The facility has an Emergency Disaster Plan posted with contact numbers and at least 2 relocation sites. Facility maintains documentation of the required emergency drills. During today’s visit there were no deficiencies cited. An exit interview was conducted with Administrator Angelique Gradney Page 3 of 3