Facility Evaluation Report

On 04/03/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduce self, stated the purpose of the visit, and was greeted by staff Eleanor White. Administrator(A1) Catherine Clark was called and arrived shortly. All five residents were present during the inspection. LPA toured facility with A1. Administrator left the facility later during inspection.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. An adequate supply of perishable and non-perishable food was observed. Expired food was observed in refrigerator. At approximately 11:03AM, knives were observed stored in kitchen drawer unlock. Medications were observed locked under kitchen cabinet. MARs were reviewed and medications were checked.

Chemicals were observed locked under kitchen sink. Bathrooms were toured. Cleaning supplies were observed unlocked in under hall bathroom sink and under master bathroom sink. Hot water tested at 107.8 degrees F in hall bathroom, 111.7 and 112.4 degrees F in master bathroom. Non-skid mat was observed in hall bathroom. Master bathroom was observed with no non-skid mat. Grabbed bars were observed in all bathrooms.

All bedrooms were observed to have the required furnishings and with adequate lightening. Extra linens were observed. Fire extinguisher was observed with a purchased date of: 07/22/24. Chemical cabinet was observed unlock in laundry room and in the garage.