Facility Evaluation Report

On 2/5/2025 LPA Tryon met with Paunitta Gray at the facility to complete a prelicensing inspection.

There are currently 2 residents living at the facility.

LPA toured the house including common areas, kitchen, food storage, equipment; bedrooms, bathrooms, storage, laundry area, yard/patio.

The house is clean, nicely furnished and in good condition. Smoke detectors and carbon monoxide detectors installed. Facility has night lights in hallway and rooms. Bedrooms are appropriately furnished with required furniture and lighting. Food supplies are adequate to meet the requirement of 2 days perishable and 7 days non-perishable. Food is stored appropriately. Facility has dishes, utensils, kitchen equipment that is in good condition. Hot water temperature maintained at appropriate range. Plumbing fixtures in good condition and functional. Cleaners, sharp items and other potentially harmful items are secured, and chemicals are stored separately from food. Medications are centrally stored, logged and locked. There is a small refrigerator available if needed for storage of refrigerated medication.

Yard is spacious and plenty of shade available. No hazards noted. There is a metal ramp to the front door that is in good condition.

The facility maintains client files with required documents and information, as well as staff files including training, etc.

At this time, the facility appears to be in substantial compliance with regulations and requirements.

LPA also reviewed the RCFE Component III Orientation with the applicant. Component III Orientation is complete.

LPA will notify the Central Application worker that the prelicensing visit and Orientation Comp III are complete; and no deficiencies or corrections were noted at the facility.