Facility Evaluation Report

Licensing Program Analyst (LPA), Patrick Shanahan, arrived at the facility in order to conduct a required 1 year annual visit. LPA's temperature was taken upon entry. The administrator designee arrived at about 5:50 PM.

Prior to beginning the infection control visit, LPA observed that there were seven (7) residents living at the facility. While touring the backyard, LPA observed that there was an un-associated person living in the backyard garage. LPA then toured the backyard and observed a laundry room with chemicals and tools accessible to residents. Next to the outside laundry facility, LPA also observed a hot tub with water in it and was accessible to the residents in care. There was no cover or gate to deny the accessibility to the hot tub.

LPA was unable to start or complete the Annual visit and a follow up visit will be required.

Exit interview conducted, deficiencies cited, and civil penalties issued.