Facility Evaluation Report

LPA Spaeth conducted an unannounced visit and was greeted by caregiver. LPA stated the purpose of the visit was regarding an incident that occurred at the facility. Caregiver was wearing a mask when greeted LPA and confirmed there are five residents. LPA observed two residents waiting for transportation to an adult day program. Both residents confirmed had breakfast and LPA observed lunch bag that was prepared by caregiver.

LPA and Caregiver began tour at 7:45 am until 8:00 am. LPA observed the living room which was neat and clean. Both parties entered the kitchen and LPA observed the knives were locked in a secure area in the staff's room. The medications were locked in the kitchen cabinet. The facility is supplied with a three day supply of fresh meats, vegetables and fruits. The pantry contained a seven-day supply of canned goods. Paper towels, hand soap, wash your hands sign, and trash can were located near the kitchen sink.

LPA also observed the two bathrooms contained wash your hands sign, hand soap, motorized hand dryer, and trash can. There are no deficiencies to report this time. Exit interview conducted and a copy of the report was given to the Caregiver.