Facility Evaluation Report

Licensing Program Analyst (LPA), Patrick Shanahan, arrived at the facility in response to complaint control number 31-AS-20210910153907. While touring the home at 10:00 am, LPA observed that the side gate is broken and does not close with a self latching mechanism. The facility is using a shoelace to keep the gate closed, but when LPA inspected the gate, it was open.

LPA continued the tour of the inside of the home. While touring room 2, with staff, LPA and staff member observed that a large couch was placed in front of the emergency exit, which prevented residents from using the door in case of emergency.

The Licensee arrived at the home at about 11:00 AM, and was made aware of the findings. The Licensee moved the couch out of the way of the door during the visit.

Exit interview conducted, deficiencies cited, and report issued.