Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced at 9:30 a.m. to conduct a legal/Non-compliance case management visit. The LPA met with staff and explained the reason for the visit.

The facility currently has a probationary license, which is effective from 9/1/2020 – 8/31/2023. At this time, the LPA observed that the facility had an outstanding balance of $1,362. The LPA shared the regulation regarding probationary fees, which states that a probationary monitoring fee equal to the annual fee, in addition to the annual fee, is assessed each probationary year. No late fees have been assessed at this time. The LPA informed staff that the Stipulation and Waiver; and Order must be posted in a conspicuous location.

The LPA toured the facility inside and outside with staff ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN : Kitchen knives are stored locked and inaccessible. Appliances in the kitchen were clean; however, the dishwasher was inoperable. The facility has a sufficient supply of perishable and non-perishable food. At 10:09 a.m., the hot water in the kitchen registered at 107 degrees Fahrenheit.

BEDROOMS : Rooms are set up with beds, nightstands, lamps, chests of drawers, chairs and closet space. Lighting in the rooms was adequate. BATHROOMS : Bathrooms were stocked with supplies and paper towels. The showers and bathtubs are equipped with nonskid surfaces and/or mats. At 10:04 a.m., the hot water in the common restroom on the first floor measured at 131.2 degrees Fahrenheit.

LAUNDRY : The laundry area is in a separate room. Laundry detergent is stored inaccessible.

MEDICATIONS : Medications are kept locked and inaccessible in a hallway closet.