Facility Evaluation Report

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one year annual inspection. LPA Haley was greeted and granted entry by staff and explained the reason for the visit. Licensee/Administrator (AD) Lawrence “Larry” Lindsey was contacted via telephone.

Adelya Senior Home is a one-story community with five bedrooms and two bathrooms. The facility capacity is 6 and the census was 5 during today’s visit. Residents were observed in their bedroom and in the living room during the visit.

During the inspection, LPA Haley observed all resident bedrooms and bathrooms. All resident bedrooms had all the requirements and were in compliance with regulation guidelines. In the resident bathrooms, hot water temperatures were measured in both bathrooms. In bathroom #1 hot water measured at 143.7 degrees Fahrenheit, and in bathroom #2 hot water measured at 139.2 degrees Fahrenheit. No hazardous items were observed in the resident bathrooms.

Smoke detectors were observed in resident rooms, the hallway, and living room. The smoke detector in resident room # 1 was not working. All other smoke detectors were operational. One carbon monoxide detector was observed in the hallway near bathroom #1. A fully charged fire extinguisher was mounted on the wall in the kitchen.

In the kitchen LPA Haley observed a perishable and nonperishable food supply in compliance with regulation guidelines. Knives and sharp objects are kept locked in a cabinet above the sink. Resident medication, resident files and staff files were locked in a cabinet near the stove. Some hazardous cleaning materials were kept locked in the cabinet above the washer and dryer. The stove was clean and all burners on the stover were non operational. The burners on the stove needed to be lit with a lighter to ignite the flame on the stove. Continued on LIC809C