Facility Evaluation Report

Licensing Program Analyst (LPA) Shawna Doucette arrived to the facility unannounced to conduct the Post licensing visit. LPA Shawna Doucette met with Administrator Furaija Libao who granted LPA entry into the facility.

LPA toured facility. Hot water temperature in bathrooms measured at 116.1 degrees F. Cleaning supplies are stored in a locked cabinet under the sink. Medications are locked in a medication closet. Resident medication log/centrally stored log was reviewed. First aid kit contains all the required items. A fire extinguisher is present and has a service date of 10/26/2021. Fire alarm and carbon monoxide were tested and working.

LPA reviewed staff records and resident records.

An exit interview was conducted with Administrator Furaija Libao and a copy of this report was provided.