Facility Evaluation Report

Licensing Program Analyst Shawna Doucette (LPA) arrived at the facility unannounced to conduct a Required Annual inspection. LPA was met by Administrator Ashley Voight.

LPA conducted a tour inside and outside of facility. Facility observed to be clean, and at a comfortable temperature set at 70 F. Common areas were furnished well with adequate seating and lighting available. Kitchen was clean and safe for food preparation. Food supply checked, LPA observed an adequate supply of food. Resident rooms were checked and were clean. Medications were locked in a closet. LPA observed an adequate supply of linen. Hot water measured at 106.9 degrees F.

Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching.

Fire extinguisher serviced on 7/20/2024. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Facility has a pull station fire alarm with sprinkler system. Last fire drill conducted 10/1/2024. All cleaning supplies are locked and secured in a cabinet under the kitchen sink.

LPA reviewed resident and staff records. Medications were checked.

An exit interview was conducted with the Administrator and a copy of this report was provided.