Facility Evaluation Report

On 10/10/2022 at 012:00 PM, Licensing Program Analyst (LPA) Jose Calderon and (LPA) Wendy Gibbs conducted an unannounced annual inspection visit at the Luray Home Facility. LPA Calderon and LPA Gibbs was allowed entry into the facility by staff Mr. Brandon Hayes. Staff Hayes asked infection control questions and took LPA Calderon and LPA Gibbs temperature prior to entrance into the facility. The facility is licensed for three 59-year-old or older ambulatory, non-ambulatory adult clients. Currently, there are (2) non-ambulatory and (1) ambulatory residents residing in the facility.

LPA Calderon explained to Staff Brandon Hayes, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon and LPA Gibbs on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: (3) resident service records, (3) resident medication records, (2) staff records, and inspected the inside facility and outside grounds. The facilities’ last fire drill was conducted on 06/10/2022. The one-story residential home consists of (3) resident bedrooms, (2) resident bathrooms, living room, sitting room, dining room, kitchen, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage.