Facility Evaluation Report

LPA Spaeth conducted an unannounced annual visit and arrived at 8:15 am, 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. LPA stated the purpose of the visit. Caregiver confirmed there are four residents. LPA observed two residents waiting for van pick-up for the adult program and Caregiver stated two residents had already left the facility to attend an adult day program. . LPA observed caregiver prepared resident's lunch and escorted residents to the van.

LPA and Caregiver began the tour at 8:45 am. 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 a 2 day supply of perishable foods and the pantry contained a 7 day supply of non perishable items. The freezer section contained an adequate supply of frozen meats. LPA observed there were no cleaning supplies underneath the sink. 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.

There are four residents' rooms; two on the first floor and 2 on the second floor. The residents' room contained lamp, lamp stand, chest of drawers, a bed and linens. All three bathrooms contained wash you hands sign, hand soap, paper towels, & trash can. The LPA observed the locked laundry room. The linen closet was located upstairs.

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