Facility Evaluation Report

Licensing Program Analysts (LPA) Helena Rummonds and Jacky Macias arrived unannounced at approximately 9:00AM to conduct an Annual Required inspection and was greeted by staff. LPAs and staff discussed the purpose of the visit. Administrator Frankie Gelotte could not be present at the time of the visit.

LPAs and staff initiated a tour of the facility at approximately 09:35 AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in sink accessible to clients measured at 107.4 degrees F which is within the range of 105 to 120 degrees F allowed per regulation.

Extra hygiene products and linens were available. Cabinets containing cleaning supplies were locked. Facility has at least two days of perishable and one week of non-perishable foods which were of quality and stored per regulation. Medications were centrally stored and locked. Emergency food and water is stored in the garage. Personal Protective Equipment is stored in staff storage room.

Fire extinguishers were last serviced 12/1/2023. Facility smoke and carbon monoxide detectors located throughout the facility were tested and operational during inspection. LPAs could not verify last disaster drill date. Client cash resources could not be reviewed at this time due to the Administrator not being present. Five staff files and four resident files were reviewed. 4 out of 5 staff do not have required First Aid and CPR certificates . All Clients do not have updated ANS reports (deficiencies cited, see 809D) Medications and medication records were reviewed. Administrator Certificate for Administrator, Frankie Gelotte (7002880735) is up to date and expires 10/14/2024.