Facility Evaluation Report

On 6/11/2024, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA arrived, contacted Administrator by telephone who arrived a short time later to conduct facility inspection.

Facility currently has four (4) residents in care. All residents were at day program at time of inspection. Residents attend day program Monday through Friday 8:30 AM - 3:30 PM.

Facility tour conducted with Administrator both inside and outside. Facility observed to be clean, odor free, and a comfortable temperature. Resident bedrooms toured, all resident rooms observed to have required accommodations. Resident bathrooms toured, all fixtures observed to be operational during time of inspection. Water temperature measured at 108 degrees F. Kitchen toured, facility observed to have a 7-day supply of non-perishable food and a 2-day supply of perishable food. All sharps observed to be locked and secured in garage and inaccessible to residents. Living room and dining room observed to have adequate seating for all residents. All chemicals and detergents observed to be locked and secured in locked cabinet in garage.

Outside of facility tour, all exits open free of obstruction. Side gate observed to be self latching. Seating available for residents under covered patio.

Facility observed to have a pull station in the living room area. Smoke detectors and carbon monoxide detectors present and observed operational during today's inspection. Fire extinguisher present with a date of service 3/28/24. Last fire drill conducted on 6/06/2024 according to facility records.

Resident and staff files reviewed. Staff interviewed.