Facility Evaluation Report

Licensing Program Analyst(LPA) D. Ayers arrived at the facility unannounced to conduct a Required Annual inspection. LPA met with Co-Administrator Donna Taylor. Administrator certificate is current with renewal date 6/17/2023.

LPA toured the facility inside and out. All passageways and exits were clear and free from obstruction. The facility was at a comfortable temperature. All smoke detectors and carbon monoxide detectors were operational. The outdoor space had enough seating for residents in a covered area. The fence had a closing gate with a secure latch. LPA observed a two day supply of perishables and a seven day supply of nonperishable food stuffs. Medications were kept in a locked closet in the living area, and medications appeared to be administered properly. Chemicals and cleaning supplies were kept in a locked cabinet in the laundry room. Facility had sufficient hygiene items and linen supply for residents. LPA toured all resident bedrooms and bathrooms. LPA observed that resident bedrooms did not have chairs available for residents. LPA issued LIC 9102 Technical Violation and discussed minimum required furnishings with Administrator.

LPA reviewed Infection Control protocols and best practices and facility Emergency Disaster Plan with Administrator. Administrator agreed to provide LPA with updated LIC 500, LIC 9020, LIC 400, and LIC 610D. Exit interview conducted. A copy of the report was provided.