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 Haley was greeted and granted entry by staff and explained the reason for the visit. Administrator (AD) Xu Han’s Administrator certificate was posted on the wall and expires October 15, 2024.

Mary’s Loving Care A is a one-story community with four bedrooms and four bathrooms. The facility capacity is 6 and the census was 5 during today’s visit. Residents were observed in the living room watching TV or in their bedroom.

During the inspection, LPA Haley observed all resident bedrooms and bathrooms. All resident bedrooms had the necessary elements and were in compliance with regulation guidelines.

Resident bathrooms were clean and organized. Hot water temperatures were measured in the range of 113.1 degrees Fahrenheit and 118.2 degrees Fahrenheit. No hazardous items were observed in the resident bathrooms, and all grab bars were tightly secured to the wall. In Bathroom #1 LPA Haley observed a cabinet with a supply of clean linen.

In the kitchen knives and sharp objects are kept locked in a cabinet next to the refrigerator. Resident medications are kept locked in the same cabinet. All four burners on the stove were operational. Hazardous cleaning items were kept locked under the sink. A first aid kit with all the required elements is locked in a cabinet next to the refrigerator.

In the garage, an additional supply of hazardous cleaning items was observed on the shelves. An extra refrigerator was observed in the garage with a supply of perishable food supply that meets regulation requirements. A supply of nonperishable food items was observed on the shelves. An emergency supply of COVID items (surgical mask, gloves, sanitizer) was observed as well.