Facility Evaluation Report

LPA Spaeth was greeted by staff member (S1) and also another staff member (S2); both caregivers were wearing a mask. LPA observed the COVID signs on the door and observed the sign in station. LPA's temperature was taken and recorded on the sign in sheet. LPA answered COVID questions. The sign in station contained hand sanitizer, thermometer, & masks. S1 stated there are five residents living in the facility.

LPA observed the dining room and observed five residents were eating lunch. Upon entering the living room, LPA observed a resident in the living room listening to the radio. The living room contained comfortable furniture and a television. LPA toured the three bedrooms which contained a bed for each resident, chest of drawers, linens, lamp, night stand, and a chair. Residents share a room and observed the twin beds were six feet apart.

There are two bathrooms in the facility which contained wash your hands sign, slip resistant mat, hand soap, electric hand dryers, and trash can.

Upon entering the kitchen, LPA observed wash your hands sign, hand soap, paper towels, and trash can. The cabinet underneath the sink was locked and contained cleaning supplies. The knives and medications were locked in a kitchen cabinet. The refrigerator contained fresh vegetables, dairy products, and fresh fruit. The freezer section of the refrigerator contained frozen meats. The staff room is located on the west side of the facility and can be accessed through the kitchen. The staff room was locked. LPA observed the fire extinguisher was located in the kitchen. LPA exited the facility through the sliding glass doors that lead to the backyard. LPA observed the washer and dryer are located on the side of the house in a shed. The side gate was not locked.

There are no deficiencies to report at this time. Exit interview conducted, appeal rights discussed & a copy of the report was given to S1.