Facility Evaluation Report

At 12:00 noon on this day, June 27, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with Program Director (PD) Renee Tuttle, and informed the reason for visit.

Facility has Infection Control Plan that was submitted by Director of Operation Joanne Rolle which was received by LPA on June 23, 2022.

LPA toured the facility inside out with PD. LPA inspected building #s 1, 2, 3 (Jane building), 4 (Larc Hall) and 5 (front office building), building # 1111, common areas and kitchen in building # 4. All buildings except Larc Hall and front office have quiet rooms. Building #1111 is for management/administration use. 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; the extinguisher in the front building showed serviced October 4, 2023. Hot water te mperature in one of the bathrooms in building # 3 was tested, and measured at 107.5 degrees Fahrenheit. Facility conducts disaster drills and records showed last conducted May 13 and 22, 2024. Facility has smoke and carbon monoxide detectors that were tested and observed in operating condition . Facility does not handle clients money.

LPA reviewed 5 staff and 7 residents files, and interviewed 2 staff and 2 clients.