Facility Evaluation Report

On 07/03/23 at 10:00 AM, Licensing Program Analyst (LPA) L. Holmes conducted an unannounced required annual inspection. LPA met with Barbara Tudda, Executive Director (ED); Administrator Standard Certificate #6045021740 exp. 10/09/23.

LPA toured facility including but not limited to the common areas, courtyard, bathrooms, kitchens, medication room, theater, game room and Life Guidance (memory care unit). Hot water temperature in common area temperature was at a comfortable degrees; each resident has their own individual apartment. There are 2-days of non-perishables and 7-days of perishable food supplies. Facility food supplies are checked daily by chef and staff. Resident's medications were kept locked in the medication room. Smoke and carbon monoxide detectors are combined and observed throughout the facility and the bedrooms. First-aid kit was complete. Fire extinguisher was observed full and last inspected 05/28/23. No accessible bodies of water were observed. Indoor and outdoor passageways were free of obstruction. Emergency Disaster Plan (EDP) on file and following COVID-19 precautionary guidelines. Disaster drills completed very other month. Certificate of Liability Insurance exp. 06/01/24.

The following forms are to be updated and submitted to CCLD:

-LIC308 Designation of Administrative Responsibility (Reviewed)

-LIC610C Emergency Disaster Plan (Reviewed)

ED to review resident and employee files and update forms.

Exit interview conducted and a copy of this report provided to ED.