Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA was greeted and granted entry by staff. LPA informed Administrator (AD) Rose Martellotti the purpose of the inspection. The facility currently has thirty-two residents in care.

The facility is a one story building with nineteen resident bedrooms, bathrooms, dining room, kitchen, medication room, staff office, laundry room, storage rooms, and a courtyard. The facility appears clean, safe and sanitary. LPA observed the required departmental postings at the entrance of the facility. LPA observed the resident bedrooms to have all the required components and furnishings. LPA observed resident bathrooms to have toilet paper, paper towels, and non-slip mats. LPA tested the water in the resident bathrooms to be between 105.2 degrees Fahrenheit and 110.6 degrees Fahrenheit. LPA observed the kitchen to be free of debris and vermin. LPA observed the kitchen to be locked and made inaccessible to residents in care. LPA observed the two day perishable and seven day non-perishable food supply on hand. LPA observed the refrigerator temperature to be tested at forty-eight degrees Fahrenheit. LPA observed the centrally stored medication locked in the medication room in a locked medication cart and made inaccessible to residents in care. LPA observed the fire extinguishers throughout the facility to be charged and with a service date of November 6, 2024. LPA observed the emergency food and water supply to be in a supply closet next to the medication room. LPA observed a shaded seating area for resident use in the outside courtyard. LPA observed all exits that lead outside of the facility to have an operational alarm. LPA observed toxins and chemicals to be stored in a supply closet in the courtyard and made inaccessible to residents in care.