Facility Evaluation Report

Licensing Program Analyst (LPA) Shira Stamps met with Administrator James Durando for an unannounced one (1) year Required visit for this facility.

LPA arrived at 12:20pm and was greeted by a caregiver. One (1) resident was observed in the living room watching tv. The rest of the residents were observed to be in their room sleeping, watching TV and/or resting. LPA spoke to the Administrator over the phone who stated he would be at the facility in thirty minutes. The Administrator arrived at 1:00pm. LPA informed the Administrator of the purpose of the visit.

Infection control: LPA reviewed facility mitigation plan (approved on 04/22/21) to make sure licensee was following current infection control recommendations. Upon arrival LPA was screened by the caregiver and asked all infection control questions. LPA was signed-in and sanitize/wash hands was available.

A tour of the physical plant was conducted with the Administrator at 1:00pm. The facility has seven (7) bedrooms and two (2) bathrooms currently occupying four (4) residents. One (1) bedroom is designated for staff use only.

LPA conducted tour at the kitchen around 1:00pm and observed there to be sufficient stock of two-day perishables and seven-day non-perishables foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. LPA observed all knives and sharp objects locked in a kitchen cabinet with the fist aid kits. LPA observed gloves, masks, gowns, and sanitizer stored in a kitchen cabinet. The Medication cabinet was also located in the kitchen and was observed to be locked and inaccessible to residents in care.