Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit at 10am. Upon arrival LPA met with Staff and explained the reason for the visit. Shortly after Administrator Edward Duffels and Caregiver Tom Stiles arrived.

At approximately 09:00am, tour of the physical plant was conducted with Stiles and Duffels. Facility has (4) resident bedrooms and a staff room. (2) of the bedrooms are private resident rooms. Hallway bathroom is designated for common use. All resident rooms have a private bathroom, with the exception of resident room 4.

LPA toured the facility with Stiles. The kitchen appeared to be relatively clean at this time and the appliances and fixtures functional during the time of visit. LPA observed a sufficient amount of perishable and non-perishable food at the facility; properly stored. Sharp objects were observed stored in the top drawer in the office area on the left side of the kitchen. LPA observed drawer to be locked at this time. Laundry area was located next to the kitchen. Cleaning products were observed to be inaccessible to residents in care at this time. The fire extinguishers were fully charged and last purchased on 11/17/2023.

There is a dedicated area for the posting of required documents located in the office area in the kitchen. The common areas were observed to be properly furnished and relatively clean at the of the visit. LPA observed appropriate signage regarding infection control posted throughout the facility. LPA observed sanitizer readily available in areas with high touch surfaces. Dining room furniture appeared to be relatively clean and functional at this time. At 9:30am, LPA observed (2) residents eating breakfast.