Facility Evaluation Report

Licensing Program Analyst (LPA), Armando Perez made an unannounced visit to the facility for the purpose of conducting a required annual inspection. The LPA was granted entry by staff to conduct the inspection and met with Executive Director. Shannon Moore The LPA informed the Administrator of the purpose for the visit. The inspection included the following:

The facility consists of two building structures for memory care clients. LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. LPA entered 10 randomly selected resident rooms and observed the required furnishing, lighting, bed and dressers. LPA observed a monthly Activities calendar and food menu posted in the dinning room. The facility is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Four Laundry rooms are present for storing laundry soap and other chemicals. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. The LIC 610, emergency disaster plan is maintained. There are no firearms at this facility and no bodies of water observed.

LPA began review of client records. Seven (7) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA observed client records to be available and complete.