Facility Evaluation Report

On 02/13/2024, Licensing Program Analyst (LPA) V. Gorban arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA toured facility with facility staff, Fe Densmore. Administrator (AD) Nathale Gako was notified of Licensing visit over the phone and arrived shortly to attend the visit.

Facility has one entrance/exit point. LPA toured facility with staff Fe inside and out.

The facility was observed to be at a comfortable temperature, of 72 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. LPA observed some residents in common area after breakfast watching television, others in their rooms resting. Department phone number and infection prevention information signs were posted thought the facility.

Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed.

Fire extinguisher was observed with a service date of 08/03/2023. All residents’ bedrooms were observed to be with comfortable temperature. Bathrooms water temperature was tested and recorded reading of 116 degrees F.

Medications observed to be locked in a cabinet in the common area. LPA reviewed medication records appears to be administered properly. Cleaning supplies were observed to be in a locked cabinet in the storage room. An outdoor seating area was observed operational for residents in care.

Exit interview conducted. A report was signed and copy of this report was provided for facility records.