Facility Evaluation Report

Licensing Program Analyst (LPA) Edward Tapia made an unannounced required annual inspection at this facility. LPA met with staff and stated the purpose of this visit. Administrator Cherie Wood was unable to make the inspection.

The facility is a single-level structure licensed for six non-ambulatory with a hospice waiver for four. Four may be bedridden. This facility offers Residential Care for the Elderly/Dementia.

At about 11:15 am, LPA Tapia was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. For this visit, LPA observed 5 residents in care and a staff member on duty. LPA toured the interior and exterior portions of the facility. There were 6 resident rooms. The facility also had a staff room which is inaccessible to residents. Rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Bathrooms were observed to be in good repair and provided with grab bars and hot water was measured at 115.5 degrees Fahrenheit. Fire alarms and carbon monoxide alarms were tested to be operational. For the exterior portion, furniture was in good repair; and grounds were free of tripping hazards. LPA did notice a ladder and some chairs that needed to be repair. LPA also noticed two bed frames. Staff stated they will be picked up today. Facility offers a 2-car garage which is used for storage with an operational washer/dryer and 2 refrigerators. LPA noticed medications in one of the refrigerators. LPA was informed that one of the refrigerators was not working. LPA informed staff that non-operational refrigerator needs to be discarded. Kitchen was in good repair. LPA noticed no locks for the medications. Staff could not find the lock. LPA made them aware of citation. LPA noticed locks for disinfectants and sharps needed to be replaced.