Facility Evaluation Report

LPA Spaeth conducted an unannounced annual visit and arrived at 1:00 pm, Upon approaching the front door, LPA observed the COVID sign. LPA was greeted by caregiver, Jaqueline Torres who was wearing a mask. LPA's temperature was taken, COVID questions answered and LPA signed in. The caregiver requested LPA to use the hand sanitizer upon entering the facility. Caregiver Andy Brandt was also wearing a mask.

LPA and Caregiver began the tour at 1:06 pm. LPA observed the living room which was contained comfortable seating. A formal dining room contained a dining room table and chairs. LPA was escorted to another dining room area, kitchen and family room combination. This area contained a dining room table with chairs, comfortable seating, and the kitchen.

The kitchen was clean and the sink area contained wash your hands sign, paper towels, hand soap, and trash can. The refrigerator contained fresh fruits and vegetables, dairy products, and drinks. The freezer section contained an adequate supply of frozen meats. LPA observed there were no cleaning supplies underneath the sink. The pantry contained an adequate supply of canned goods. A locked hallway closet contained the resident medications, the knives, and a 90-day supply of PPE. LPA observed the locked garage which contained locked cabinets with the cleaning supplies and additional PPE. LPA went to the backyard and observed a shaded area with comfortable patio furniture and the side gate was not locked.

LPA observed one resident room and a staff room on the first floor along with a resident bathroom. The resident room contained lamp, lamp stand, chest of drawers, a bed and linens. The bathroom contained wash you hands sign, hand soap, paper towels, and a trash can. Both parties then proceeded to the second floor and LPA observed three resident rooms and the master bedroom. All resident rooms were clean and contained the required furnishings. The second floor bathroom also was furnished with hand soap, paper towels, wash your hands sign and a trash can. The LPA observed the locked laundry room.

There are no deficiencies; appeal rights discussed, and a copy of the signed report given to the caregiver.