Facility Evaluation Report

On this day Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required annual visit. LPA was granted entry into the facility by staff. LPA Tirre met with Administrator Heather Ta and explained the reason for the visit.

During the visit LPA toured the facility with Administrator. Facility is a 3 bedroom and 2 bathroom single story home. There are 4 Clients in care. LPA observed proper covid signage at front entrance of facility as well as sanitization and temperature check station. Facility has required Department postings. LPA observed copy of Administrators Certificate expiring November 12, 2023. LPA toured all clients rooms, all rooms had required Furnishings per regulations. All restrooms observed contained working wash basin, soap, wipes, sanitizer, toilet paper and towels. Restrooms had proper hand washing signs posted. Clients were observed relaxing in bedrooms.

Facility has ample supply of PPE. LPA observed facility has emergency food and water supply. Facility has required Emergency Disaster Plan posted. Facility has a secured location for Client medication and files. Facility has 30 days supply of medications for clients. LPA reviewed Clients files during visit. 4 of 4 clients files were observed. Clients emergency contact information and Physicians reports are current. Facility has 1 fire extinguisher that is fully charged and mounted. Facility has operating smoke detectors and carbon monoxide detectors in client rooms, hallway, kitchen and living room areas. Facility has a designated visitation area.

No deficiencies or advisories were found during this visit.

An exit interview was conducted with Administrator Heather Ta and copy of report was left at facility.