Facility Evaluation Report

On 04/25/2023, Licensing Program Analysts (LPAs) Chinwe Nwogene and Janette Romero arrived unannounced at the facility to conduct an annual inspection. LPAs was greeted and granted entry by Facility Manger/caregiver, Otira Caldwell. Otira called the Administrator, Andy Adams who arrived at the facility shortly after. At the time of visit there was two #2 staff and three #3 residents present. LPAs toured the facility inside and out with Otira Caldwell.

Kitchen; LPAs toured the kitchen and observed food is stored in a safe and healthful manner. Utensils and dishware are sufficient for the approved capacity. The refrigerator and stove are in working order. Sharps are stored in in a locked closet in the hallway, available only to authorized individuals. Trash cans has tight-fitting lid. Dishwasher are used to clean and sanitize dishes. All need appliances were present and shown to be in working condition and clean. The fridge was measured at 38 degrees Fahrenheit and Freezer was measures at 1 degrees Fahrenheit.

Dining and Livingroom; LPAs toured the dinning and Livingroom area. LPAs observed area to be clean and furnitures in good condition. Temperature was 76 degrees Fahrenheit.

Hallway; LPAs toured the hallway and observed hallway to be clean with no pathway obstruction. LPAs inspected the fire extinguisher and found it to be in compliance and record to be up to date. Carbon monoxide & smoke detector were tested and functioning properly. LPAs observed additional linens and hygiene items.

Medications: LPAs observed medications to be labeled and stored in separate bins inside of a locked closet in the hallway and are distributed according to physician orders. The first aid kit was complete.

Bathroom; LPAs toured the two hallway bathrooms and observed bathrooms to be clean and equipped with grab bar. There is also a good number of personal toiletries available for the residents in care. The hot water measured at 110 degrees Fahrenheit.