Facility Evaluation Report

On 10/06/22, Licensing Program Analysts (LPAs) Ernand Dabuet and Mario Leon conducted an unannounced Case Management visit at this facility. Upon arrival, LPA conducted a risk assessment. LPAs spoke with administrator Ana Kunz who confirmed the facility has COVID activity. Kunz states there are (2) residents that are under isolation. LPA explained the purpose of the visit is to conduct a health and safety inspection.

On 10/05/22, Kunz self-reported an incident on 10/04/22 that the entire facility evacuated due to a fire structure. The location of fire structure was in the rear kitchen. According to Kunz, the kitchen staff noticed smoke coming through the walls and alerted management of the issue. Kunz contacted the local Fire Department and assessed the damages. The areas that were damaged are the exhaust hood wall and the room above the kitchen room #214. Room #214 is currently unoccupied. The interior/exterior walls of the kitchen and room #214 were damaged during the emergency response.

After assessing the damages, LPAs observed the wall being constructed. The LPAs observed that all utilities were working. As a result of the evacuation, no residents were injured or relocated.

An exit interview was conducted with Ana Kunz and a copy of the report was provided.