Facility Evaluation Report

On 3/29/23 at 12:30 PM, Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Co-Administrator, Terrance Thompson and explained the purpose of the visit. The facility’s fire clearance was approved for 6 ambulatory residents.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and back decks. The facility consists of 4 total bedrooms which 3 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for residents is maintained at 70 degree Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Hot water temperature in the kitchen was measured at 116.1 degrees Fahrenheit. All toilets, hand washing and bathing are safe, sanitary and in operating condition. The supply of extra hygiene were available for residents. There is a minimum of one-week supply of non-perishables and 2-day perishables food supply.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 9/16/22. Emergency Disaster Drills and Fire drills are conducted and documented monthly. The last drill posted on 2/26/23. First aid kit was observed to be complete.

At 1:15 PM 5 of 5 resident records were reviewed. At 2:00 PM 5 staff records were reviewed and 5 of 5 have current first aid training and are associated to the facility. A sample of 2 resident’s medications were reviewed.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.