Facility Evaluation Report

At 9:45 AM, Licensing Program Analyst (LPA), Huma Rahimi, conducted an unannounced annual inspection at the facility mentioned above. LPA met with the staff Jaizel Mabuti who granted access to the facility. The staff contacted the Licensee Starr Carver via telephone and LPA explained the purpose of the visit. The Licensee arrived shortly after. LPA and the Licensee conducted a physical plant tour and observed the following:

The facility is licensed to serve 6 residents over the age of 60 years old. Facility currently is serving (2) residents on hospice with an exception from the Regional Office. Facility is located in a residential area and consist of a single home with 6 bedrooms and 3 bathrooms, a dining room, a living, room, an office, a kitchen, a front yard, and back yard.

Front Yard: Was clean and well maintained. No hazards were observed.

Kitchen: LPA observed the kitchen to be clean with sufficient food for at least two (2) days of perishable and seven (7) days of non-perishable. In the refrigerator LPA observed molded bread, carrots with white growth on their skin, and moldy cabbage. LPA observed that the sharps are locked and inaccessible under the sink cabinet. LPA observed that the medication are locked in one of the kitchen cabinets and inaccessible to residents in care. A full fire extinguisher was observed hanging on the kitchen wall and last serviced on 12/5/2024.

Laundry: LPA observed laundry next to the kitchen and the washer and dryer in working condition. All laundry detergents and other cleaning supplies in the laundry room were locked and inaccessible to residents in care. LPA observed a cabinet with medications of residents and was unlocked and accessible to residents in care.