Facility Evaluation Report

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit and was greeted by Staff Raymond DeGuzman and explained the reason for the visit.

The purpose of the visit is to complete the required inspection.

LPA Trueman toured the facility along with Staff Raymond DeGuzman today 08/05/202 at 12:40 PM and the following was observed:

Facility contains 8 Resident Bedrooms and 4 Resident Bathrooms, dining room, living room, TV room, and laundry room.

Required Annual Inspection included Infection Control, Operational Requirements, Physical Plant/ Environmental Safety, Staffing, Personnel Records/ Staff Training, Resident Rights- Information, Planned Activities, Food Service, Incidental Medical and Dental, Resident Records/ Incident Reports, Disaster preparedness, and Residents with Special Health Needs.

LPA observed sufficient supply of 2 day perishables and 7 day non perishables.

Visitation signage was posted along with signage for hand washing and proper sanitizing.

Licensee maintained an individual admission agreement for each client.

Carbon monoxide detector was observed in the facility.

Each client has personal rights free from corporal or unusual punishment, infliction of pain, humiliation, ridicule, coercion, threats, mental abuse, or other actions of a punitive nature.

Facility was clean, safe, sanitary, and in good repair at all times for the safety and well being of clients, employees and visitors.

Medication was reviewed for 3 residents and was given per physician's directions. 3 Client Files and 4 Staff Files were reviewed. Interviews were conducted with 2 Staff. Clients were at Day Program at time of the visit today.

No deficiencies. Exit interview conducted.