Facility Evaluation Report

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct the Required Annual Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by Staff Melissa Carlile. Staff contacted Administrator Lester Manigque who responded to assist with the visit.

A tour of the facility was conducted with the Staff Melissa Carlile. The residence was set at 74 F temperature and free of passageway obstructions inside and outside.

LPA Doucette observed 4 bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean. Hot water temperature was measured 110 F.

Kitchen toured, supply of food observed and food stored properly for perishable and nonperishable. Knives were stored in a locked cabinet. Medications were stored in a locked Medication cart. Cleaning supplies were in a locked cabinet in the garage. Smoke detectors and carbon monoxide detectors were checked and operating. Fire extinguishers were charged and had service dates of 2/01/24. Fire drill was last completed on 06/29/24. Facility has a pull station fire alarm. Facility has a sprinkler system.

LPA observed a self latching gate on the outside of the residence. There was outdoor seating for the residents.

Resident, medication and staff records were reviewed. Facility had a medication errors this month on C1 on 4/13/24 rispiridone and C3 7/09/24 and 07/10/24 and 07/11/24 famotidine 20 mg was missed. Current first aid and CPR were on file for staff.

An exit interview was conducted with the Administrator. A copy of this report, appeal rights and plan of correction were discussed and left with the Administrator.