Facility Evaluation Report

On 8/29/2023, Licensing Program Analyst (LPA) Janette Romero arrived unannounced at the facility to conduct an annual required visit. LPA was greeted and granted entry by Caregiver Deborah Johnston who was informed of the purpose of visit. During the visit, there was three (3) residents and one (1) staff present, and LPA was informed two (2) residents were out in the community.

The facility is approved to care for six (6) non-ambulatory residents and has a hospice waiver for two (2). LPA toured the facility's interior and exterior. During the visit, LPA observed the following:

Kitchen: LPA toured the kitchen and observed kitchen to be clean. Food is stored in a safe and healthful manner. The facility had a 2-day supply of perishable food items and 7-day supply of non-perishable food items. Knives/sharp instruments are secured in a locked kitchen cabinet.

Dining and Living room: LPA toured the dining and living/family room area. LPA observed area to be clean and furniture in good condition. A fire extinguisher was charged and mounted in the living room.

Hallway : LPA observed hallway to be clean with no pathway obstruction. Carbon monoxide and smoke detector were tested and functioning properly.