Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted the required annual continuation inspection. LPA arrived unannounced and met with Administrator Gregg Knapp who allowed entry. The purpose for the visit was explained. The facility is licensed for 6 residents ages 60 and over. The fire clearance is approved for 6 ambulatory residents of which 6 may be non-ambulatory. There is a hospice waiver approved for 2 residents.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Operational Requirements: The facility has a dementia care plan to accept or retain residents with dementia. There are currently 3 non-ambulatory residents and 0 ambulatory resident residing at the facility. The facility has the sufficient amount for liability insurance covering injury to residents and guest.

Physical Plant & Environment Safety: . There are 5 bedrooms, 3 bathrooms, living room, dining room, kitchen, and a detached garage. Facility has operable smoke and carbon monoxide combo detectors located in each room and hallway. Knives, cleaning solutions, and disinfectants are locked in the cabinets. No firearms or weapons are stored at the facility. LPA measured the hot water temperature in the bathrooms and kitchen sink. The hot water temperature in the bathroom and kitchen were measured between 101.5 to 149.9 degrees F which is not wit hi n t he required range of 105.0 to 120.0 degrees F

Staffing : There appears to be sufficient staffing at the facility. The administrator’s Gregg Knapp expires 06/16/2024 Staff employed are all over the age of 18.

Personnel Records-Training : Staff files are maintained at the facility. Staff do not have current CPR/first aid training which includes sufficient on-going training.