Facility Evaluation Report

On 07/19/23, Licensing Program Analyst (LPA) V Gorban arrived to the facility unannounced to conduct the required Annual Inspection Visit. LPA was greeted by Administrator Elizabeth Prasad, stated the purpose of the visit and was allowed entry into the facility. Administrator on record is Elizabeth Prasad # 6058737740. Updated certificate will be replaced with old, once arrived. Administrator certificate is observed posted on the wall.

LPA conducted a tour of the facility, inside and out. Facility temperature was 76 degrees F. Residents in care observed at the common area and others outside, at the time of visit. Facility is a 21 room facility double occupancy with bathroom in each room. Facility divided on sections for male and female residents in separate sections. Resident bedrooms were observed to have the required lighting and furnishings and were free from odor and free from any passageway obstruction / fire hazards. LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed.

Bathrooms were toured and observed to have operational lights, running water, and non-obstructed floors. Hot water temperature tested at 117 degrees F. Trash can with lid and hand washing postings were observed. A supply of extra linens and towels were observed in the Hallway.

Carbon monoxide and smoke detectors were tested and observed to be operational. Carbon Monoxide detectors were observed in hallways and common area. Fire Extinguisher was observed with a service date of 03/10/23. First aid kit was observed and contained all required items.