Facility Evaluation Report

At approximately 10:00 AM, Licensing Program Analysts (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and was greeted by Justin Herold, Administrator. Facility is a Residential Care Facility for the Elderly (RCFE) with seven (7) residents in care. Facility has a Dementia Care Plan, a Hospice waiver for four (4), with three (3) Hospice residents currently in care, and is approved for all non-ambulatory residents.

At approximately 11:00 AM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one story home, was a comfortable temperature, and passageways were free from obstructions. Water temperatures in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, and hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. Facility has at least two days of perishable food and LPA informed Administrator of the requirement to maintain one week of non-perishable foods. Administrator agrees to bring the facility into compliance immediately, as well as obtain an emergency supply of water. Medications were centrally stored and locked. There is a shaded seating area in the backyard with outdoor space for activities. LPA observed two locked sheds in the backyard. LPA inspected and observed the contents of one consisting of furniture, resident care equipment, tools, and holiday decorations. LPA inspected and observed the contents of the second one containing a water tank which is not currently being used. LPA observed backyard gates all secured with bolt lock.