Facility Evaluation Report

Licensing Program Analysts(LPAs) Ferrer Sabarias, Abdoulaye Zerbo and Andrei Castillo arrived at 11:47 AM. to conducted an unannounced visit for a required annual inspection . The LPAs were greeted by the Administrator Tonisha Seymore notified her of the purpose of the visit and were granted to enter the facility to conduct the inspection.

Infection Control: The facility has an approved infection control plan and a surplus of supplies for infection control including but not limited to mask, gloves, gowns, first aid kit, and cleaning supplies.

Physical Plant and Environmental Safety: The facility is maintained at a comfortable temperature. The facility consists of 4 resident bedrooms, and 2 bathrooms, living room, kitchen, backyard. The bedrooms are furnished with TV, lighting, closet space, and dresser. The beds are clean and have clean linens and the pathways are clean and clear of obstruction. The hot water temperature in the bathroom and kitchen read at 137.1 degrees, Licensee is regulating the temperature of the water and will submit a proof of correction. . The living room and kitchen clean and clear of obstruction. The medications are stored in a locked cabinet in the hallway and inaccessible to the resident. According to the Administrator there are no firearms kept in the home. The facility has a current fire clearance, smoke and carbon monoxide detectors and fire extinguishers and are in working order, last date serviced [10/4/24].

Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods.

Disaster Preparedness: LPAs reviewed the facility’s emergency and disaster plan, including documentation of the last fire drill conducted on [9/26/24], which met department requirements. All facility exits were clear of obstructions.