Facility Evaluation Report

On 08/24/2024 at 08:45 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a Case Management Visit. LPA Brown met with a staff and was granted entry to the facility. At the time of the visit there were two (2) staff present, and six (6) residents present. Licensee/Administrator Kristine Mangente was contacted and informed of the visit. Licensee/Administrator Mangente arrived during the visit. LPA Brown explained the purpose of the visit to Licensee/Administrator Mangente.

The facility is a four (4) bedroom, two (2) bathroom home with a kitchen/dining area, living room, activity room and laundry area. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) residents of which six (6) can be non-ambulatory residents. The facility has six (6) Hospice Waiver. The current census is six (6) residents. LPA Brown was accompanied by Staff #2 (S2) and Licensee/Administrator Mangente to conduct a Case Management visit, which included, but was not limited to the following:

The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). LPA Brown observed no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 73 degrees Fahrenheit. LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, lamps and storage space. LPA Brown observed sufficient lightning. Moreover, LPA Brown observed that bathrooms were clean, and appliances were operating appropriately. LPA Brown observed grab bars and non-skid mat in the resident bathrooms.