Routine inspection·February 18, 2026

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA was greeted, granted entry by staff and explained the reason for the visit. Structure: The facility is a single level structure and licensed for six residents, of which six may be non-ambulatory, and a hospice waiver for two. As of today, there are five residents admitted to the facility. There are six bedrooms (5 resident & 1 staff) and two restrooms available. There’s a living room space, a dining space and a detached garage. Bedrooms: All bedrooms have the required furnishings: bed, lamp, chair, and storage space. Bathroom(s): Bathrooms are equipped with a working toilet, wash basin, and shower. Hot water measured in between 110.2 – 116.2 degrees F. Kitchen: Sharps are kept locked cabinet under the sink. Cleaning chemicals are in a locked cabinet in the main hallway. Food Service: A supply of perishable and non-perishable food items that meet regulation requirements was observed. Client & Staff Files : Resident and staff files stored in a locked cabinet in the kitchen. File Review: 3 of 5 resident files were reviewed during the visit, and three staff files were reviewed. Medications/First-Aid Kit: Resident medications are stored locked medication cabinet in the kitchen. A first aid cabinet with first aid supplies and first aid manual was observed. Medication Review: 3 of 5 resident medications were reviewed during the visit. No discrepancies were noted. Medication are being administered as prescribed. Continued on LIC809C Linens & Hygiene Supplies: Additional linens were observed in a hallway closet near the main bathroom. Garage Area: The garage is used primarily as a storage area for facility items. Walkers, wheelchairs, tools, and incontinent care supplies were some of the items observed. Backyard/Exterior: The backyard is clean and very well organized. Walkways are free of obstruction. A table with some chairs was observed under a shaded patio area. There’s a laundry room out in the backyard area with a washer and dryer. In the laundry room, LPA observed an emergency supply of food and water, and emergency supplies like clothing, blankets, and incontinent care items in a box ready to go in the event of an emergency. Bodies of Water: None. Smoke/Carbon Monoxide Detectors: Smoke and carbon monoxide detectors tested operational. Fire Extinguisher: Fire extinguisher was observed mounted on the base of the stove. An emergency evacuation drill: Was conducted January 25, 2026. Evacuation drills are conducted quarterly. Emergency Phone Numbers, House Rules, Exit Plan & Menu: Several facility postings are posted are available for review on the main postings board in the dining room Additional Comments: Facility contact information was reviewed during the visit. Deficiencies observed during the inspection are being cited. An exit interview conducted, and a copy of this report and appeal rights was provided.