Facility Evaluation Report

At 12:00pm, Licensing Program Analyst (LPA) Angela Panushkina arrived at the facility to conduct an unannounced annual inspection. LPA met with the Administrator and explained the reason for the visit.

A tour of the physical plant was initiated at 12:10pm, and the following was observed:

The facility is approved for capacity of six (6) Ambulatory clients. Required postings were observed in the entry area. The facility maintains a comfortable temperature of 74°F. LPA observed all common areas are furnished with adequate furniture to accommodate a maximum capacity of six (6) clients. There is a functioning telephone on the premises. Dual smoke and carbon monoxide detectors were located throughout the facility, and at 12:30pm they were tested and observed to be operational.

The kitchen is equipped with a refrigerator, microwave oven and sink. There were adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6) clients. Sharp knives/objects are kept in the staff room and observed to be locked and inaccessible to clients in care. Fire extinguisher is located near the kitchen and last serviced on 04/11/2025. Medications and staff/residents files are kept in the locked cabinet. There is a complete first-aid kit in the cabinet with all required supplies and with the first aid manual. There are three (3) bedrooms designated for clients’ use. All bedrooms are furnished with beds, dressers and required bedding and linen. The bedrooms have sufficient closet space. LPA was informed that one (1) bedroom is designated for live-in staff. The facility has two (2) bathrooms. Bathrooms were properly supplied and had functional fixtures. Bathrooms have soap and paper towels. Extra towels and linens were readily available. The hot water delivered in the client bathrooms measured at 105.4°F.