Facility Evaluation Report

On 05/5/25, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced Annual required visit with a primary focus on infection control measures, using the new Care Inspection Tool. LPA was met by the Administrator, Rosemarie Famison and the purpose of today’s visit was explained.

The facility is licensed to serve 6 adults age range 60 and older. There are currently three (6) residents in placement. The facility consists of living and dining rooms, kitchen, 4 bedrooms, 2 bathrooms, front and back yards. LPA reviewed 3 staff files and 6 residents and found that they include all required documents.

LPA Shirley and Rosemarie toured the physical plant. There are no bodies of water or firearms on the premises. All resident rooms were checked. Beds and bedding were in good condition, adequate lighting provided, storage for client personal belongings was observed. Walls and floors were in good repair. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 110.7 F. All fire extinguishers were operable.

A comfortable temperature is maintained in the facility. LPA observed the facility to be clean and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning agents, toxins, and sharps were inaccessible to clients. The kitchen was inspected and there is enough perishable and non-perishable food available which is stored properly. Fire extinguishers were charged, smoke detectors and carbon Monoxide were operable. LPA checked first aid kit; and found that it was compliant with a manual. LPA also observed that all mandated posters were posted. There were no deficiencies observed during today’s visit.

Exit interview held and a copy of the report was provided to the Administrator, Rosemarie Famison.