Facility Evaluation Report

Licensing Program Analyst (LPA), Seo Jeon, made an unannounced visit to the facility for the purpose of conducting a required annual inspection. The LPA was allowed to enter the facility to conduct the inspection. On today’s visit the LPA met with Administrator, Maria Krawczyk and she was notified of the purpose for the visit.

The facility is a single story home with 4 bedrooms and 2 bathrooms, complete with an attached garage. There are no pools or other bodies of water on the premises. The clients served are adults 60 and up.

The LPA observed the hand washing stations in the facility restrooms. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan and found all required infection control measures.

A tour of the interior and exterior areas of the facility was conducted. Per the administrator, no known weapons are stored in the home. The facility is being maintained at a comfortable temperature. All outdoor and indoor passageways are kept free of obstruction. There are grab bars for each toilet and shower used by residents. Hot water temperature was measured at 105 degrees F. The facility's carbon monoxide and smoke detectors were tested by the Administrator and were observed to be in operating condition.

Kitchen area is clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. Chemicals and sharps are locked in the kitchen cabin.