Facility Evaluation Report

Licensing Program Analyst (LPA) Delmundo conducted an unannounced annual required inspection. LPA met with Program Director Renee Tuttle, and informed the purpose of visit.

Director of Operation Joanne Rolle submitted the facility's Infection Control Plan which LPA received on June 23, 2022.

LPA toured the facility inside out with Renee Tuttle. LPA inspected building #s 1, 2, 3, 4 (Larc Hall) and 5 (front office building), common areas and kitchen in building # 4. All buildings except Larc Hall and front office have quiet rooms. Facility has adequate supplies of snacks and activity materials. First aid kits inspected and observed complete with manual. Storages for cleaning supplies were observed locked.

All buildings have fire extinguishers which LPA observed fully charge with tags showed serviced 9/23/22 and 10/22/22. Hot water temperature in one of the bathrooms in building # 3 was tested, and measured at 106.2 degrees Fahrenheit. Facility conducts disaster drills at least once every six months, and records showed last conducted June 7, 2023. Facility has smoke detectors and carbon monoxide that are in operating condition.

LPA reviewed 5 staff and 5 residents files, and interviewed 3 staff and 3 clients.

Exit interview conducted, and copy of this report provided.