Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility to conduct a required annual visit. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Facility Administrator Susan Caldwell at approximately 9:15 a.m. and explained the reason for the visit.

The LPA toured the physical plant areas inside and outside at approximately 9:28 a.m., with Administrator Susan Caldwell., to ensure that there are no health and safety hazards.

BEDROOMS: There are (5) bedrooms designated for resident use. Bedroom #1 is single occupancy with no private bathroom and an exit to the exterior. Bedroom #2 is single occupancy with no private bathroom and no exit to the exterior. Bedroom #3 is a shared room containing two beds, two closet spaces with outdoor access and a shared bathroom. Bedroom #4 is single occupancy with a private bathroom and a direct exit to the exterior. Bedroom #5 is single occupancy with a private bathroom and a direct exit to the exterior. The facility has furnished each room with clean linens, appropriate furnishings, and sufficient lighting for resident use.

BATHROOMS : Resident bathrooms are clean, sanitary, and in operating condition with grab bars and non-skid surfaces. The LPA observed sufficient amounts of soap and paper products however (1) bathroom was not restocked at the time of observation. The administrator stocked the bathroom immediately upon observation. Bathroom hot water measured between 110.3 degrees Fahrenheit and 114.4 degrees Fahrenheit between 9:32 a.m. and 9:50 a.m. storage space closet in hallway was observed at 9:36 a.m. containing clean linens for resident use.