Facility Evaluation Report

On 5/12/22 at 12:35 PM, Licensing Program Analyst L. Salazar arrived unannounced to conduct an annual inspection. LPA was met by licensees and stated purpose of visit. A tour of the facility was conducted. COVID-19 guidelines are in place. Facility has one main entrance/exit point.

LPA toured the facility inside and out and observed facility to be clean, free from odor without any obstructions or fire clearance issues. LPA toured the facility inside and out. LPA observed a stocked first aid kit. The facility temperature read at 69 degrees. The hot water temperature read at 115 degrees F.

Hand sanitizer was readily available to residents and visitors. Hand washing posters were observed by the bathroom sinks. LPA observed required postings in the facility.

LPA observed a 4 bedroom 2 bathroom house, two bedrooms have twin beds and are shared. LPA observed 4 out of 4 residents in care. Resident R1 is bedridden in bedroom #1 and is receiving Hospice services.

LPA observed a 2 day supply of perishables and 7 day supply of non-perishable foods. Medications were observed in a locked cabinet in the kitchen. Chemicals were in a locked cabinet under the sink in the kitchen. LPA observed knobs removed from the stove and door signals on the door for dementia residents.

Current Liability insurance certificate was observed with am expiration of August 2022. Both Licensees carry current administrators certifications with expirations dates of 2023.