Facility Evaluation Report

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct the Required Annual Inspection. LPA was granted entry into the facility by Staff Darci Duenas. Staff contacted Administrator who responded to the facility to assist with the visit.

A tour of the facility was conducted with Administrator. The residence has two A/C units and they were set at 73 F and 74 F. Passageways were free of obstructions inside and outside.

Kitchen toured, supply of food observed and food stored properly for perishable and nonperishable. Medications were stored in a locked Medication cabinet in kitchen. Cleaning supplies were in a locked in cabinet under kitchen sink and in laundry room. Smoke detectors and carbon monoxide detectors were checked and operating. Facility has a pull station fire alarm and a sprinkler system. Fire extinguishers were charged and had service dates of 12/15/24. Fire drill/ earthquake drill completed monthly. Water temperature measured at 117.3 F.

Disaster plan needs to be updated and facility needs a mass casualty plan.

There was outdoor seating for the residents. No pools or bodies of water.

Resident, medication and staff records were reviewed. Current first aid and CPR were reviewed.

A copy of this report with plan of correction and appeal rights were provided.