Facility Evaluation Report

Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced Case Management - Annual Continuation at the facility today continuing the inspection that began on 01/27/2024. At 10:00 a.m., the LPA met with the Coordinating Manager. At 10:20 a.m., the Licensee arrived at the facility.

RECORD REVIEW: Starting at 10:30 a.m., the LPA reviewed resident records for five (5) out of five (5) residents. Resident records were reviewed for, but not limited to care plans, medical records, admissions agreement, and consent forms. All files were in order. The LPA conducted a personnel file review for all staff regularly scheduled and reviewed for, but not limited to: health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Personnel files reviewed were observed to be in compliance.

At 2:09 p.m., the LPA conducted a review of medication and medication documentation with the Licensee for five (5) residents. No errors observed during the review.

At 2:26 p.m., the LPA conducted a brief physical plant tour to ensure there are no health and safety hazards.

No deficiencies cited at this time. Exit interview conducted. A copy of the report of provided.