Facility Evaluation Report

Licensing Program Analyst (LPA) Shira Stamps met with Administrator Linda Hughes for an unannounced one (1) year Required visit for this facility. LPA arrived at 10:13 am and was greeted by caregiver Lowana Carr. Two (2) residents were 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. The Administrator arrived at 10:25 am. LPA informed the Administrator of the purpose of the visit.

Infection control: LPA Stamps reviewed facility mitigation plan (approved on 03/13/21) to make sure licensee was following current infection control recommendations. Upon arrival LPA was screened by the caregiver. LPA was asked to sign-in and sanitize/wash hands.

A tour of the physical plant was conducted with the Administrator at 10:27 am. The facility has three (3) bedrooms and two (2) bathrooms currently occupying four (4) residents. The facility is Fire Cleared for four (4) ambulatory.

LPA conducted a tour of the kitchen around 10:27 am 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 care clean and inaccessible to pests. LPA observed all knives and sharp object locked under the kitchen sink and observed the medication cabinet locked and inaccessible to residents in care.

LPA observed rooms to have the appropriate bedding. There is a nightstand and sufficient lighting for each resident. CONTINUED.....