Facility Evaluation Report

On 10/1/2024, Licensing Program Analysts (LPAs), L. Hall and D. Doidge arrived unannounced to conduct a case management visit. LPAs met with Caregiver, Rizalina Hutchko. House manager, Arvin Franco, arrived at 12:10pm, and LPAs explained the purpose of the visit.

Case management visit was for a follow-up for an annual inspection completed on 8/20/2024. During visit LPAs reviewed the three (3) resident records and five (5). All resident and staff records are incomplete. LPAs toured facility and observed three (3) residents. During record review LPAs observed two (2) of three (3) residents are non-ambulatory. Facility fire clearance for the facility is for six (6) ambulatory residents only.

The following deficiencies were observed:

At 11:45am, LPAs observed facility did not have supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises

At 12:40pm, LPAs observed during record review that the facility have two (2) non-ambulatory residents but does not have a non-ambulatory fire clearance.