Facility Evaluation Report

Licensing Program Analyst (LPA) Fred Arias is conducting this case management visit for the purpose of conducting a health and safety check. LPA arrived at the facility and was greeted and granted entry to the facility by staff and explained the nature of the visit.

The facility has four residents in care. LPA observed there were two staff on site. Caregivers were observed to be assisting residents and cleaning facility.

During the visit LPA toured the inside of the facility, bathrooms, bedrooms, and common areas. LPA inspected facility bathrooms and hot water temperature was measured between 109.4 and 111.7 Fahrenheit Degrees. LPA inspected food supply; adequate amount was observed to be within regulations. The facility has a two-day supply of perishables and seven-day supply of non-perishables food available as required by regulations. LPA observed hallways and walkways were free of obstruction. LPA toured outside grounds with staff. There is shaded area for residents. Outside grounds were free of hazards at the time of visit.

LPA reviewed 2 staff files and 4 resident files. Required documentation for staff and residents were present in the files.

This report was reviewed with facility representative, and a copy of this report was provided to the facility.