Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Stephen Venanzi and explained the reason for the inspection. There are currently five residents at the facility of which all were seen engaging in musical therapy with the musical therapist that comes to the facility.

The facility is a one-story home with four resident bedrooms, one caregiver bedroom, two bathrooms, kitchen, living room, dining room, two car garage, and backyard. Facility appears clean, safe, and sanitary. LPA observed the kitchen to be free of debris and vermin. LPA observed a two-day perishable and seven-day non-perishable food supply ready and on hand. LPA observed the toxins to be stored under the locked kitchen sink made inaccessible to residents in care. LPA observed the knives and sharps to be locked in a drawer in the kitchen located by the stove made inaccessible to residents in care. LPA observed the centrally stored medication to be stored in a locked cabinet located in the kitchen and made inaccessible to residents in care. LPA observed a fire extinguisher located in the kitchen to be fully charged and serviced. LPA observed all resident bedrooms to have the required components and furnishings. LPA observed that all doors leading to the outside had alarmed exits. LPA observed an extra clean linen supply located in the hallway for resident use. LPA observed resident bathrooms to have toilet paper, paper towels, and non-slip mats. LPA tested the water to be 116.6 degrees Fahrenheit in the resident bathrooms. LPA observed the staff bedroom to be locked made inaccessible to residents in care. LPA observed the emergency food and water supply to be located in the garage.