Facility Evaluation Report

On 12/10/2024, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required inspection visit. LPA arrived, introduced self, and allowed entrance by House Manager, Idelli Ervin. Licensee/Administrator, Adonica Vickers contacted by telephone and arrived during inspection visit.

Facility tour conducted with House Manager. Facility is a 5 bedroom, 2 bathroom home with 4 private bedrooms and 1 shared bedroom. Facility observed to be clean, odor free, and a comfortable temperature. Residents observed to be engaged in holiday activities with staff during inspection. All common areas of facility observed to have adequate seating available for residents in care. Facility tour began in resident bedrooms, all bedrooms observed to have adequate lighting and required furnishings. Resident bathrooms toured, showers observed to have grab bars and shower chairs available. All bathrooms, observed to have hand soap and paper towels available. Water temperature measured at 112 degrees F. Kitchen toured, all knives observed to be locked and secured in pantry. Facility observed to have a 2-day supply of perishable and a 7-day supply perishable food available. All food in the refrigerator observed to be properly stored and labeled. Medication observed to be locked and secured in hallway closet. Medication reviewed and observed to have original labels and to be administered as prescribed.

Fire extinguisher present and observed to have a service date of 8/20/2024. Carbon monoxide and smoke detectors observed operational during inspection. Last emergency disaster drill and fire drill conducted 12/09/24 according to facility records.

Outside of facility toured. All exits open free of obstruction. Pool is surrounded by a locked 6 foot fence and inaccessible to residents.

No deficiencies cited during inspection. Exit interview conducted and a copy of report provided to Licensee for facility records.