Facility Evaluation Report

On 04/18/2024, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Nicole Elder and explained the purpose of the visit.

LPA Boyles and Administrator toured facility together to ensure health and safety of residents in care. LPA observed the facility to be clean, in good repair and odor-free.

Areas toured include but are not limited to: common areas, resident bedrooms, garage, backyard, and common restrooms. LPA observed each bathroom to have the necessary grab bars, non-skid flooring, paper towels, trash can with lids and 20-second hand-washing poster. LPA observed each bedroom to have the required furnishings, windows with screens and working lights. LPA observed chemicals and medications locked and inaccessible to residents. LPA observed the kitchen well stocked with a variety of options for residents to choose from. Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. Hot water temperature was measured at 114 F.

LPA observed two (2) fire extinguishers, fire detectors, and carbon monoxide detectors. LPA observed the first aid kit to be complete and ready for emergency use. LPA observed a completed emergency disaster plan and emergency drills conducted.

In the areas toured no immediate health, safety, or personal rights violations were observed.

LPA reviewed a total of five (5) residents' files and three (3) staff files which contained all of the required documentation.

No deficiencies are being cited as a result of today’s inspection.

Exit interview conducted and copy of report left at the facility .