Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted by the caregivers. LPA Spaeth stated the purpose of the visit was to conduct an annual inspection. The caregiver confirmed there are three residents living in the facility. The Administrator, Claire Francisco arrived at 10:30 am.

The facility is licensed for six non-ambulatory residents in rooms 1, 3, 4 and 5 of which one bedridden may be bedridden in bedroom 5. Room 2 is the designated staff room.

LPA Spaeth reviewed the residents' files at 11:00 am until 11:20 am.

LPA toured the facility at 11:20 am until 12:00 pm and observed the following:

Living Room – The room contained comfortable seating and a television.

Kitchen/Dining Room - The facility contained a seven-day supply of non-perishable food and a two-day supply of perishable foods. The knives were locked in a kitchen cabinet. The cleaning solutions were locked underneath the kitchen sink. The medications were locked in a kitchen cabinet. LPA observed the first aid kit was securely locked in the kitchen. Cleaning supplies were also locked in a kitchen cabinet. A fire extinguisher is also located in the kitchen. Appliances in the kitchen appeared to be functional. The dining room area contained a dining room table and chairs.

Backyard - The backyard contained a shaded area with comfortable seating. The side gate leading from the backyard to the front yard was not locked.