Facility Evaluation Report

On 8/27/2024 at 9:30 AM, Licensing Program Analysts (LPAs) J Sampair and D Doidge arrived unannounced to conduct the Required Annual Inspection. Upon entry, LPAs stated the purpose of the visit to Clinician Hisham Doumi. Administrator Ben Blake arrived at approximately 10:30 AM.

The LPAs inspected the interior and exterior of the facility. The inspection of the physical plant included the kitchen, dining area, restrooms, community living spaces, resident rooms, storage areas, and the grounds of the facility. More than the required minimum of 7 days of nonperishable and 2 days of perishable foods were appropriately stored. Temperature in the community living space was measured at 78.7 degrees Fahrenheit at 1:19 PM. The fire extinguisher was replaced 3/8/2024.

The carbon monoxide and smoke detectors were fully operational. The LPAs observed required postings in the facility, including the License, Planned Activities, and Meals. An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations.

The LPAs reviewed facility records, records of 5 residents, and records of 5 staff members. LPAs Interviewed 2 residents and 3 staff members.

Exit interview conducted and a copy of this report provided.