Facility Evaluation Report

On 9/08/2023 Licensing Program Analyst (LPA) V Gorban arrived unannounced for an Annual Required Inspection. LPA met at the door with staff Joseph Rafanan. LPA stated the purpose of the visit and was allowed entry. Administrator (AD) Steve Loop was notified of Licensing visit, administration certification number 6033165735 expiration date 08/23/23, AD is expecting to receive updated licence soon.

During this visit LPA toured facility with staff inside and out. Facility has one entrance/exit point. At the time of the visit there were only two clients present.

Facility appeared clean, comfortable temperature recorded at 73 Degrees Fahrenheit with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Bathrooms have trash cans with lid. The exterior tour was conducted. Facility as three bedroom house, two private rooms and one shared. Two independent clients have its own bedroom. Every room is fully furnished. LPA reviewed clients file for emergency contact and physician report.

Kitchen observed with free of clutter and obstruction. Sharp items placed away and locked. Kitchen refrigerator was checked. LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored.

Cleaning supplies were observed to be locked in a laundry room. Records were reviewed for infection control training. Fire extinguisher in compliance, service date 12/30/2022.

Medications were observed to be locked in common room. Facility uses to document file for administration for dispense, document, track clients’ medications. First aid kit was observed and contained all required items.

Carbon monoxide and smoke detectors were tested and observed to be operational.