Facility Evaluation Report

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA was greeted, granted entry by staff, and explained the reason for the visit. The licensee was present upon arrival and the Administrator arrived about an hour later.

During the inspection, LPA Haley observed a locked closet right next to the front door used to store resident medications and resident files. Under the staircase, there is a locked storage space for additional hygiene items for the residents.

Resident bedrooms were clean, organized, and had the necessary elements and were in compliance with regulation guidelines. Resident bathrooms were clean and organized as well. Hot water temperatures were measured at 105 degrees Fahrenheit. Hazardous items are kept under the sink in a locked cabinet.

The kitchen is kept locked at all times when staff is not present. A perishable and non-perishable food supply that meets regulation requirements was observed. Knives are kept hidden in the pantry. All four burners and the warmer on the stove were operational. No hazardous cleaning chemicals were observed under the sink. Between the kitchen and garage is a locked office area where staff files are kept.

The garage remains locked and inaccessible to residents at all times. The garage was clean and organized. Two cars were parked in the garage. A refrigerator with plenty of perishable food items was observed as well as an emergency supply of water being stored in the garage. A laundry area equipped with a washer and dryer was observed.