Facility Evaluation Report

05/06/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. Facility has an emergency disaster plan as required. Facility has an infection control plan as required. There are currently 4 clients in care. LPA was greeted by staff. Administrator, Frankie Gelotte arrived shortly after.

At approximately 9:40AM, LPA and Administrator toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Emergency supplies are stored in the storage room. LPA observed a weekly food menu posted.

All rooms were furnished per regulation. All rooms were in good repair. Extra hygiene products and linens were available. Water temperature in sinks accessible to clients in care were measured and found to be within the range of 105 to 120 degrees F. Fire extinguishers were last inspected 12/2023, per conversation with Administrator, they have a scheduled appointment to get them serviced on 05/13/2025. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Toxins, sharps and other items that could pose threat if available to client were located in the laundry room and in the kitchen and found to be secured. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. Client cash resources could not be reviewed during visit as they were not available at facility during inspection (Deficiency Cited) . Last fire/disaster drill was conducted 02/28/2025.