Facility Evaluation Report

LPA Spaeth made an unannounced visit to the facility and was greeted by Autumn Roberts-Rodriguez, Assistant Executive Director. LPA stated the purpose of the visit was the investigation of an incident report regarding the personal rights of a resident.

At 11:00 am, LPA Spaeth was escorted by Assistant Executive Director for a tour of the facility. LPA viewed the kitchen and observed kitchen staff were preparing the noon meal and were wearing masks. LPA observed an adequate supply of fresh fruits/vegetables and dairy products in the walk in refrigerator. The freezer also contained frozen meats and the pantry was stocked with canned goods.

At 11:10 am LPA observed the first floor public bathrooms and staff bathrooms all contained wash your hands sign, hand soap, and paper towels. At 11:20 am, LPA interviewed R1 and observed the one bedroom apartment was thoroughly furnished with a kitchen, bed, linens, and adequate lighting. While touring the first and second floors, LPA observed the entire facility was neat and clean.

LPA Spaeth interviewed staff member (S1) from 11:25 am until 11:50 am. LPA reviewed resident records from 12:00 pm until 12:15 pm. LPA Spaeth also interviewed the Assistant Executive Director from 1:00 pm until 1:00 pm.

Further investigation regarding the incident will need to be completed. There are no deficiencies to report at this time. Exit interview was conducted, appeal rights discussed and a copy of the signed report was given to the Assistant Executive Director.