Facility Evaluation Report

On August 17, 2022, at 8:30am, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived to conduct a 1 year required annual inspection. LPA met with the licensee, Adriana Lordoache-Stir, and explained the reason for the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms, and completed a facility risk assessment. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: mask. Additionally, LPA was screened by the staff upon arrival. Currently, the facility has 6 residents residing in the home. The home was 76 degrees F.

LPA and Adriana completed the Infectious Control Questionnaire with no issues or concerns to report.

LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, and kitchen. LPA observed there to be a sufficient amount of 2-day perishable and 7-day non-perishable food. There’s appropriate lighting throughout the facility.

First aid kit was present and complete. Fire extinguisher is maintained and ready for emergency use. The sink, toilet, bathtub and shower operate properly. Washer and dryer was present and operating properly. Toxic substances, laundry and cleaning supplies are inaccessible. There’s a centralized storage area for resident’s medication. Medication cabinet was locked. The facility Medication Administration Record was reviewed as well as the dispensing log and was complete and current.