Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted by the caregiver. The Administrator Maricel Reyes arrived at 9:35 am.. LPA stated the purpose of the visit was to conduct an annual inspection. The Administrator arrived at 10:55 am. The staff confirmed there are three residents. The facility is licensed for six (6) non-ambulatory, bedridden residents.

LPA Spaeth and the caregiver toured the facility at 9:15 am until 9:55 am

Common Areas – The living room and family room contained comfortable seating. A dining room table with chairs are located in the kitchen. The family room contained a television.

Kitchen - LPA Spaeth observed a two day supply of perishable food and a seven day supply of non-perishable foods. The knives and cleaning solutions were underneath the kitchen sink and was not locked. LPA observed the caregiver locked the cabinet at 9:17 am.. The fire extinguisher is located in the kitchen and is operable.

Medication - LPA observed the resident medications and PPE supplies were safely locked in a kitchen cabinet. LPA observed an unlocked kitchen cabinet which was not locked and contained a previous residen's medication. LPA observed the Administrator removed the medication and disposed of the medication. LPA observed the first aid kit.

Garage//Washer & Dryer – The laundry room contained the washer/dryer. The door leading to the garage was not locked. Additional cleaning supplies and the laundry detergent were not securely locked. LPA observed the cabinet was locked during the visit. An additional refrigerator is located in the garage and contained additional food items.