Facility Evaluation Report

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct an annual inspection. LPA met with Administrator Balwinder Rai during today's inspection. Currently there are 6 residents residing at the home of which 2 are receiving hospice services.

LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 6 resident rooms, 1 staff room, 2 bathrooms, kitchen, common living spaces, backyard and the storage areas. In the areas toured no immediate health, safety, or personal rights violations were observed. Hot water was measured at 108 degrees. LPA toured the backyard and all exits are accessible and unlocked. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete.

LPA reviewed 3 of 6 resident files and 3 staff files. LPA reviewed medications of three residents comparing with Centrally Stored Medication Record and physician orders. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current first aid certificates and training completed. LPA observed a copy of current liability insurance.

No deficiencies are being cited as a result of todays inspection. Exit interview conducted.