Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced Case Management deficiencies visit and was greeted and granted entry by staff at 8am. LPA spoke with Administrator (AD) Eli Cuyson via phone and explained the purpose of the visit.

The facility currently has five residents in care. Upon entry, two residents had eaten breakfast and were resting on the couch in the living room. LPA toured the kitchen and observed the facility had the required two days of perishable food items and seven days of non-perishable food items. The facility temperature was 70 degrees Fahrenheit and the facility was clean.

During the tour, LPA tested the hot water temperatures in two of two resident bathrooms. The hot water temperatures ranged from 105.0 to 113.0 degrees Fahrenheit. Additionally, three residents were sleeping comfortably in their rooms. LPA greeted one alert resident but was informed by staff that the resident has a cold. All bedrooms had the required furnishings and linens and no odors were detected. LPA was unable to interview residents since four of five of the residents were sleeping. LPA observed they were clean, dressed and comfortable. The exterior of the property is maintained. Utilities have remained operational. LPA interviewed two of two staff who shared they have been paid and no back pay is owed.

LPA shared with AD, via phone, that legal notices sent by certified mail from the Department must be posted in the facility and families notified within ten days. AD acknowledged this and will follow-up with Licensees.

Based on LPA's interviews and observations, the facility is in Compliance with Title 22 Regulations and no deficiencies will be cited on this date. An exit interview was conducted with Staff #1 (S1) for AD Cuyson and copy of this report was provided to the facility.