Facility Evaluation Report

Licensing Program Analysts (LPA)'s Shawna Doucette and Sarah Hurtarrived at the facility unannounced to conduct the Required Annual Inspection. LPA met with Administrator Deanna Brown. LPA's disclosed the purpose of the inspection and was granted entry into the facility by the Administrator.

A tour of the facility was conducted with Lead Recovery Coach Celeste Elison. The facility was free of passageway obstructions inside and outside.

LPA Doucette observed 8 bedrooms in the facility. Residents' rooms were toured and inspected. Rooms were found to be clean. Hot water temperature was unable to be measured in resident bathroom 112.8 F.

Kitchen toured, supply of food observed and food stored properly. Knives were stored in a locked in a storage room. Medications were stored in a locked Medication room. Cleaning supplies were in a locked in staff bathroom. Smoke detectors and carbon monoxide detectors were checked. Facility is hard wired with pull station alarms and sprinkler system. Fire extinguishers were charged and had service dates of 7/26/24. Fire drill was last completed on 05/20/24.

There was outdoor seating for the residents.

Staff records were reviewed. Resident records were reviewed and medications. Current first aid and CPR were on file for staff.

An exit interview was conducted with the Administrator. A copy of this report was discussed and plans of correction and appeal rights were left with the Administrator, Deanna Brown, whose signature on this form confirm receipt of these documents.