Facility Evaluation Report

On 05/15/24, at 9:05 a.m., Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, annual visit. LPA was met by Office Manager/HR Specialist-Debra Ingram.

LPA asked for the census, participant, and staff files. The staff and participant files are digital and are not directly accessible to the LPA.

The physical tour started at 10:25 am and LPA observed the following:

Common Areas : At approximately 10:25am, LPA and Office Manager toured the facility. There is one (1) large activity room that can be divided by a divider to become two (2) activity rooms. LPA observed proper tables and chairs for the participants. All trash cans were observed to have lids. The facility maintains a temperature at 73F. There is a large conference room for meetings. There is another room for storage.

The bathrooms: LPA observed three (3) bathrooms to be clean and have the wash your hands signs posted. One (1) of the bathrooms has a shower that can be used for the participant. Another bathroom has a changing table for incontinence participants. And one (1) bathroom does not have a shower or incontinence change table. The bathrooms have grab bars. The hot water temperature tested in the bathroom is with in required range between 109-119F. Trash cans in all bathrooms have lids. The First Aid kits were observed to be complete. There are two (2) first aid kits.

Two (2) fire extinguishers observed to be full and last serviced on 05/2024. One (1) is located by the conference room and the other one (1) by the activity room.