Routine inspection·March 24, 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 non-ambulatory residents; of which, one may be bedridden. The facility is full at the moment with six residents admitted. All residents were present during the visit. There’s a total of 6 bedrooms and 4 bathroom areas. There’s a living room space, a dining space, backyard, 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 108.5 – 109.5 degrees F. Kitchen: 4 of 4 burners and the warmer are operational on the gas stove. Sharps are kept locked in a kitchen drawer across from the sink. Cleaning chemicals are stored below the sink in a locked cabinet. Food Service: A supply of perishable and non-perishable food supply that meet regulation requirements was observed. Client & Staff Files : Resident and staff files stored in locked filing cabinets near a dining table below the facility postings board. File Review: 3 of 6 resident files were reviewed during the visit, and 3 staff files were reviewed. Medications/First-Aid Kit: Resident medications and the first aid kit are stored in the locked filing cabinets near the dining table. Medication Review: 3 of 6 resident medications were reviewed during the visit. Medication is being administered as prescribed. No discrepancies were noted. Continued on LIC809C. Linens & Hygiene Supplies: Hygiene items were observed in the resident bathrooms locked below the sink and additional hygiene items were observed in the laundry room. Garage/Storage Area: The garage is used as a storage space for various supplies. Incontinent care supplies, oxygen tanks, a Hoyer lift, walkers, clothing, surgical mask, etc. An emergency supply of waters and sleeping bags were observed. Backyard/Exterior: . Clean and organized. Walkways are free of obstruction. A table and chairs were observed under a patio area. Bodies of Water: Swimming pool is surrounded by a self-latching fence that measured five feet high off the ground. Smoke/Carbon Monoxide Detectors: Smoke and carbon monoxide detectors tested operational. Fire Extinguisher: Fire extinguishers were observed mounted in the kitchen and in the dining room behind the dining table. An emergency evacuation drill: An emergency evacuation drill was conducted March 15, 2026. Evacuation drills are conducted quarterly. Emergency Phone Numbers, House Rules, Exit Plan & Menu: Facility postings are posted are available for review on the main postings board above the locked filing cabinets where medications, and staff, and resident files are stored. Additional Comments: Licensing fees are current. Residents were observed and appeared healthy and well taken care of. The emergency disaster plan was reviewed; licensee was advised to look for shelter location in neighboring cities. Facility residents were unresponsive to LPA’s greetings, so interviews were not attempted. No deficiencies are being cited as a result of today’s visit. An exit interview conducted, and a copy of the report was provided