Facility Evaluation Report

At 12:50pm Licensing Program Analyst (LPA), Angela Panushkina, conducted an unannounced annual inspection at the facility mentioned above. LPA met with the Administrator and explained the reason for the visit. Physical tour was conducted with the Administrator and LPA observed the following:

Kitchen: At approximately, 1:00pm 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 hallway cabinet by the kitchen.

Medications: At approximately, 1:05pm LPA observed medications are centrally stored and locked in a hallway cabinet by the kitchen.

Bedrooms: Facility has four (4) bedrooms designated for clients use. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Facility has awake staff.

Bathrooms: 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. LPA observed appropriate hand washing signs posted in each bathroom. Hot water temperature measured at 111.3°F.

Common Areas : The facility maintains a comfortable temperature at 74°F. The living room and dining area appeared clean and were properly furnished. The living room has a television, comfortable furniture. No obstructions and or tripping hazards throughout the facility. Laundry is located by the kitchen LPA observed all detergents locked and inaccessible to clients in care. Detached garage is kept locked and being used for extra storage and emergency supply. Continue on LIC809-C