Facility Evaluation Report

At 09:45am, Licensing Program Analyst (LPA) Angela Panushkina conducted an unannounced annual inspection at the facility mentioned above. LPA was greeted by the Administrator, who granted access to the facility and LPA explained the reason for the visit. Physical tour was conducted with the Administrator and LPA observed the following:

Kitchen: At approximately, 09:55am LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. All knives and sharps observed to be locked in a kitchen cabinet and inaccessible to clients in care. Fire extinguisher in the kitchen, was last serviced on 08/17/2023.

Medications: At approximately, 10:00am LPA observed medications are centrally stored and locked in the kitchen cabinet.

Bedrooms: There are three (3) bedrooms designated for clients use with sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Facility has an awake staff

Bathrooms: At 10:15am LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. LPA observed appropriate grab bar and client's bathroom had non-skid mat. All trash cans in bathrooms had fitted lids to protect from cross contamination. Hot water temperature measured at 120°F.

Common Areas : The facility maintains a comfortable temperature at 73°F. The living room and dining area appeared clean and were properly furnished. The living room has a television, comfortable furniture and the