Facility Evaluation Report

Licensing Program Analyst (LPA)'s Shawna Doucette and Brianna Miranda arrived at the facility unannounced to conduct a Required Annual inspection. LPA was met by Administrator Cynthia Scott.

LPA conducted a tour inside and outside of facility. 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, LPA observed an adequate supply of food. Resident rooms checked. LPA observed an adequate supply of linen. Hot water measured at 112.6 degrees F. Facility was set at 79 F. Exterior tour conducted, all exits open and free of obstructions.

Fire extinguisher serviced on 11/06/2024. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Last fire drill conducted 11/4/2024.

All cleaning supplies are locked and secured in a cabinet under the kitchen sink.

LPA reviewed resident and staff records. LPA reviewed medications.

Facility had uncleared family member residing in the facility. Refer to 809D. Civil Penalty was issued for Fingerprint clearance.

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