Facility Evaluation Report

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct the Annual Inspection. LPA met with and explained the reason for the visit with Administrator (AD) Dinafay Crandell.

During this visit, LPA toured the facility inside & out. Resident rooms and common areas were clean, in good repair and contained required equipment, furnishings and lighting. LPA observed required items in bathrooms with hot water measuring 108 degrees. LPA observed hygiene items, towels, extra bedding, and linens which were stored and available for use. The kitchen was observed to be clean, in good repair with necessary items and appliances. LPA observed required food supply and paper products. Knives, cleaning/disinfecting supplies and chemicals were locked are stored separate from food. Medications are centrally stored in a locked hallway closet. Doors and passageways are unobstructed throughout the facility including outdoors. A First aid kit contained required items. LPA walked the outdoors to find the grounds well-kept with clear walkways, sitting area and a gate with working latch. There is an in ground pool with a locked gate as required, Fire extinguishers were purchased 1/2/24 receipt reviewed). Smoke and carbon monoxide detectors were observed and tested. LPA conducted resident and staff file reviews including P&I. Emergency Disaster and Infection Control requirements were reviewed during the inspection.

There were no citations during this inspection.

An exit interview was conducted and a copy of this report was signed and provided.

LPA requested the following updated forms faxed to CCLD by 11/4/24: Designation of Facility Responsibility (Lic308), Administrative Organization (Lic309), Affidavit Regarding Client/Resident Cash Resources (LIC 400), Surety Bond (Lic402), Emergency Disaster Plan LIC610D (12/22), Personnel Report (LIC 500), Client Roster (LIC 9020), Proof of current Liability Coverage.