Facility Evaluation Report

On 12/22/2021 9:30 a.m. Licensing Program Analyst (LPA) , Nina Galarza conducted an unannounced Case Management visit. Purpose of the visit was to address deficiencies observed on 12/15/2021 during a complaint investigation. LPA met with administrator, Peter Babian and stated the purpose of the visit. On 12/15/21 LPA toured facility with Staff#1 (S1).

No screenings of COVID-19 for temperature or symptoms were done for visitors of the facility

white picket fence on side of facility, adjacent to a walkway, with detached pieces of fence and broken pieces of fence

wooden fence on side of facility, adjacent to a walkway, with broken pieces of wooden fence

a wooden bench located in the back yard area with back support detached on one side.

a wooden bench located in the back yard area with metal support in disrepair.

window on door leading to back area with cracks in glass

utility door on side of facility, adjacent to walkway and wooden fence, off door hinge

water pipe on side of facility building, with a missing screw to secure water pipe in place

bathroom fixture in room 1 of cottage 1511 in disrepair, missing base and bar of towel rack.

door of room 1 in cottage 1511 with a crack

missing bathroom tile inside shower of shared bathroom in cottage 1511

wall in room 4 of cottage 1511 with a crack

window in room 3 of cottage 1511 with a crack