Facility Evaluation Report

On 06/22/23, Licensing Program Analyst (LPA) Renee Campbell arrived at the facility at approximately 7 am and met with the Administrator, Doris Woodruff. The facility had been empty of residents due to damage from a storm and needed repairs. No other staff had been hired and no residents were present. The LPA stated the purpose of the visit and began a tour of the facility beginning with the laundry room. LPA Campbell observed a staff bathroom and garage door. The bathroom contained only a sink and toilet that were free of stains or odors. In the garage, there were entries for a private residence for one staff or a married couple and a sleeping room for staff who lived far away. It contained bunk beds arranged to contain three beds. The administrator then directed LPA to the kitchen. Cleaning agents were under the sink in the kitchen and in the laundry room. Both locations were under lock and key or magnetic locks. Administrator Doris Woodruff showed the facilities first aid kits as well.

One kit had tweezers, scissors, and manual. There were two medication cabinets. One cabinet located in the living room would be the main cabinet for dispersal. The other cabinet in the dining room was too be used for spillover storage of medications. On the far side of the dining room is an office and a common area used for TV and other activities. A shelf contained a variety of facility binders. No binders containing personal information were left unlocked. There were no obstructed passageways in hallways or other rooms. Activity items were stored in a cabinet and there was a calendar of activities for the residents.

Bedrooms examined contained a dresser, closet and bed with covers and mattress as well as a night stand. Drawers were randomly pulled and examined. There were four single bedrooms and one double bedroom for residents. The double bedroom had doors leading to the backyard. Two bathrooms were available for residents. In all there were seven bedrooms and three bathrooms.

LPA and administrator viewed the backyard which faced a golf course. There was a protective netting to prevent golf balls from hitting the house. The net covered the full width of the backyard and house.