Routine inspection·May 11, 2026

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced annual required visit. Upon entry, LPA was greeted by Tammy Eddy, Executive Director, and informed them of the purpose of the visit. Currently, the facility has 79 residents in care. Facility Overview: The facility is consisted of 6 cottages and an office building. Each cottage's capacity is up to 16 residents. There are no pools or known firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility has infection control plan in file. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. The facility has laundry room in each cottage, and LPA observed them to be operational. Sharp and dangerous objects were securely locked and inaccessible to residents. LPA obtained and reviewed the annual fire inspection report dated 06-10-2025, and the facility passed the inspection. LPA reviewed the monthly water temperature logs and observed the water temperatures in each cottage were within regulatory limit. Fire extinguishers installed on the walls of each cottage, and the fire extinguishers had current inspection tags. Continued on LIC809-C.... Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate. Record Review and Resident/Staff Files: LPA reviewed files for five (5) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Five (5) resident files were reviewed and contained all required documentation. Health-Related Services/Incidental Medical Services: All resident medications were securely locked. LPA reviewed medications for five (5) residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last fire drill conducted on 03-25-2026, which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed and provided. ***LPA left the facility at 12:00 noon and returned at 1:00 PM.