Inspection Report Summary
Most inspections found no deficiencies, with the facility consistently clean, well-maintained, and free of health or safety violations. The most recent report from September 17, 2024, confirmed no deficiencies and noted that all documentation and safety equipment were in order. An August 19, 2024 visit focused on updating emergency disaster plans, with the licensee agreeing to provide revised plans promptly. Earlier reports, including the October 25, 2023 pre-licensing inspection, were also free of deficiencies. Several complaint investigations were not applicable or absent, indicating no substantiated issues during this period.
Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Sep 17, 2024
Visit Reason
The inspection was an unannounced 1-Year Required Annual Inspection conducted to ensure the health and safety of residents in care at the facility.
Findings
The facility was found to be clean, in good repair, and odor-free with no immediate health, safety, or personal rights violations observed. All required documentation in resident and staff files was complete, and safety equipment and emergency plans were in place and adequate.
Report Facts
Residents' files reviewed: 6
Staff files reviewed: 4
Fire extinguishers observed: 2
Perishable food supply: 2
Non-perishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katherine Cartwright | Administrator | Facility Administrator met with Licensing Program Analyst during inspection |
| Jaynae Boyles | Licensing Program Analyst | Conducted the inspection |
| Lauren Crocker | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Capacity: 6
Deficiencies: 0
Aug 19, 2024
Visit Reason
The visit was conducted to discuss and evaluate the emergency disaster plan for the facility and related facilities.
Findings
The licensee agreed to update emergency disaster plans for all three facilities to reflect updated temporary evacuation shelter locations that can accommodate the combined capacity in case of evacuation. The licensee will provide the updated emergency disaster plan to the Licensing Program Analyst within one week.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katherine Cartwright | Administrator | Met with during the visit and discussed emergency disaster plan. |
| Lauren Crocker | Licensing Program Manager | Present during the visit and involved in discussion. |
| Jaynae Boyles | Licensing Program Analyst | Present during the visit and involved in discussion. |
Inspection Report
Original Licensing
Census: 6
Capacity: 6
Deficiencies: 0
Oct 25, 2023
Visit Reason
The visit was an unannounced pre-licensing inspection conducted to evaluate the facility's readiness for licensing and to ensure health and safety compliance for residents in care.
Findings
The facility was observed to be clean, in good repair, and odor-free with necessary safety features in place. No immediate health, safety, or personal rights violations were found, and no deficiencies were cited.
Report Facts
Food supply: 2
Food supply: 7
Residents' files reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katherine Cartwright | Administrator | Facility Administrator met during inspection and agreed to remove locked gate |
| Jaynae Boyles | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Lauren Crocker | Licensing Program Manager | Conducted the pre-licensing inspection |
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