Facility Evaluation Report

On 07/02/24, at 2:00 pm Licensing Program Analyst (LPA), David España conducted an unannounced annual visit using the full CAREs tool. Upon arrival at the facility, LPA España conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection. LPA verified that the facility has an approved mitigation plan report. LPA was granted access and allowed to enter the facility to conduct the inspection. LPA España was met by Janice Lofton, Administrator and the purpose of today’s visit was explained. Residents were present at the time of visit. The facility is licensed for 3 non-ambulatory. LPA España conducted a tour of the facilities physical plant inside and outside to ensure safety for all residents. The resident medications were reviewed for proper storage, documentation, and system implementation. Common areas observed for the ability to safely serve the needs of the residents, including cleanliness, and clear of any potential hazards to the residents. The kitchen was observed for the ability to prepare and serve food. The food service was reviewed for appropriate quantity and proper storage of perishable (2 days) and nonperishable (7 days). LPA España toured the key areas in the facility which were 3-bedrooms, 2-bedrooms, focusing on the laundry facilities, kitchen amenities, and a brief note on the roof condition. LIC 809C Continued