Facility Evaluation Report

Licensing Program Analyst (LPA) Joscelyn Martinez conducted an unannounced annual inspection. Upon arrival LPA met with staff and later met with Administrator John Mallon. The purpose of the visit was explained.

At 12:25 p.m. LPA conducted a physical tour of the facility. Infection Control: Covid-19 infection control signage were observed outside of the facility. Proper signage was also observed inside in the common areas. Upon entrance, staff took LPA’s temperature and was asked to sign-in the visitor’s log. Facility has sufficient PPE supplies for more than 30 days. Food Inspection/Kitchen: LPA Martinez observed there was sufficient stock of one-week non-perishable foods and two-day perishable foods. Sharps and medications are centrally stored in a locked area. At 12:39 p.m. LPA observed cleaning chemicals accessible to residents under the sink cabinet. Staff took the chemical and properly stored them to keep them inaccessible to residents. Smoke detectors/carbon monoxide are located throughout the facility and are hardwired. Smoke detectors and carbon monoxide detectors were tested at 1:00 p.m. and appear to be functional. Fire extinguisher has a purchase date of 05/05/2021. Common Areas: All common areas were observed to be clean and properly furnished. Facility maintains a temperature of 78.0 F. Residents Rooms: There are seven (7) bedrooms which of one (1) is designated for live-in staff use. All bedrooms were toured and appear to be clean and properly furnished. LPA observed additional bedding and linens sufficient for all of the residents.