Facility Evaluation Report

Licensing Program Analyst LPA Shawna Doucette arrived at the facility unannounced and conducted an Annual Inspection on this date. LPA was met by House Manager Sharon Johns.

LPA conducted a tour inside and outside of facility. Facility observed to be clean, and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. Kitchen toured, appeared clean and safe for food preparation. Food supply checked, LPA observed an adequate supply of food.

Resident rooms checked. LPA observed an adequate supply of linen. Hot water measured at 110.4 degrees F. Facility was set at 72 F. Medications were locked in a kitchen cabinet.

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

Fire extinguisher serviced on 05/10/2024. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Last fire drill conducted 7/15/2024. All cleaning supplies are locked in a cabinet in the in the dining room.

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