Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation. LPA was greeted and granted entry by Caregiver and explained the reason for the visit. Tyana Fisk, Administrator arrived shortly after and met with LPA.

The following was observed during the inspection:

This is a single story property located in a residential neighborhood comprised of six private resident bedrooms and four resident bathrooms. Facility operates within the conditions and limitations specified on the license. LPA observed six residents in care with two residents receiving hospice service. LPA observed two caregivers on duty and verified fingerprint clearance and association statuses for the caregivers and administrator. All common areas were inspected including the attached garage. LPA toured the interior portion of the facility. The fireplace is properly screened. LPA observed and inspected the six private resident bedrooms. The resident bedrooms' were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. All bathrooms were found be in compliance, clean, and operational. The hot water temperature measured 113.3 degrees Fahrenheit in the bathrooms. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed ample two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction. The two exit gates on each side of the property were operational and there were sufficient seating and shading in the patio area. The fire extinguisher was mounted, charged, and