Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection (mitigation). LPA was greeted and granted entry by staff. LPA met with executive director Jim Craddock. LPA explained the reason for the visit. LPA and executive director toured the facility. LPA observed Covid-19 precautionary signs throughout the facility. LPA observed the Ombudsman poster and the See Something Say Something poster (PUB 475). LPA observed the fireplace in the living room/library is screened. LPA observed all staff wearing masks. All fire extinguishers are fully charged. The medication carts are kept locked and secured in the wellness center. LPA observed all stairwells had emergency chair lifts. LPA and executive director toured the kitchen and dining room. The kitchen and dining room are clean and organized. LPA observed a 2 day perishable and 7 day non-perishable food supply on hand. LPA observed resident rooms are spacious and contain the required furnishings. LPA and executive director toured the memory care unit. No obstacles or hazards observed in the memory care unit. Facility conducts emergency drills monthly with the staff. LPA observed a raised fountain in the central courtyard. Facility has a mitigation plan that has been approved. No obstacles or hazards observed inside or outside of the facility. No deficiencies observed. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.