Facility Evaluation Report

Licensing Program Analyst Shawna Doucette (LPA) arrived at the facility unannounced to conduct a Required Annual inspection. LPA was granted entry by Staff who contacted the Administrator via phone Administrator Laura Vargas responded to assist with the visit.

LPA conducted a tour inside and outside of facility. Facility consisted of 3 separate houses on the property which were the Ranch House, The Garden House and the River House. 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. Resident rooms checked. LPA observed an adequate supply of linen. Hot water measured at 108.1, 125.1 and 116.6 degrees F.

Exterior tour conducted, all exits open and free of obstruction. Facility has a pool which is fenced, locked and inaccessible to clients in care.

Fire extinguisher serviced on 08/01/2024. Smoke detectors and carbon monoxide detectors observed operational. Last fire drill conducted 03/2024. All cleaning supplies are locked and secured in a cabinet under the kitchen sink.

LPA reviewed Staff and Resident files. Facility does not have a current centrally stored log for each resident.

An exit interview was conducted with the Administrator and a copy of this report with plan of correction and appeal rights was provided.