Facility Evaluation Report

At approximately 9:25AM Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced to conduct an annual required inspection and was greeted by staff. Team Leader, Jaqueline Burns arrived at a later time.

LPA initiated a tour of the facility at approximately 10:15AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Client rooms were furnished per regulation. Water temperature in sinks accessible to clients measured at 119 and 124 degrees F. One of which is not within the range of 105 to 120 degrees F allowed per regulation. Team Leader turned down the water heater. Extra hygiene products and linens were available. Additional cleaning supplies and disinfectants are stored in a locked closet which is inaccessible to clients in care. However, LPA observed cleaning products (clorox toilet bowl cleaner, disinfectant wipes, comet) in bathroom(s) and dining room accessible to clients in care.

Facility has at least two days of perishable and one week of non-perishable foods which was stored per regulation and were of quality. Medications were centrally stored and locked. Emergency food and water supply are stored in locked basement.

LPA observed fire extinguishers last serviced in January 2019, December 2022, and October 2023. Facility staff immediately called for annual maintenance to be performed in order to get all extinguishers up to date. Facility has smoke detectors as well as sprinklers that are hardwired to the local fire department. Sprinklers were last inspected December 2023. Carbon Monoxide was tested and operational during visit. Most recent fire/disaster drill was conducted 01/02/2024.