Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena conducted a required annual inspection to the above facility. The LPA was greeted by staff, and LPA explained the reason for the visit. The staff contacted the Administrator Mary Ann Howe, and they arrived shortly thereafter.

The LPA and the staff toured the physical plant areas inside and outside with the applicant to ensure there are no health and safety hazards.

COMMON SPACES: Walls and flooring were checked for cleanliness and good condition. At the time of the visit, common seating area and dining room furniture was observed to be in good condition. The LPA observed the required postings in the common hallway. Fire extinguishers were observed to be serviced 2/6/2024. The facility smoke alarm system is hardwired and was operational. Medications were observed to be locked in a closet in the hallway between bedrooms #1 and #2.

KITCHEN: Kitchen knives are stored in a locked kitchen cabinet. The supply of dishes, utensils, pots,

pans and drink ware are adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the

BEDROOMS: Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are four bedrooms for residents’ rooms and one staff room. There was a linen closet in the hallway with extra towels and linens.

BATHROOMS: Bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature measured in the hallway restroom at 112.8 degrees Fahrenheit.

OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for client use. There is a side gate for client use and is single-latched. No bodies of water noted.