Facility Evaluation Report

Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced for the purpose of conducting the annual inspection. LPA Colvin met with Supervisor Brandyn Hamilton and informed her of the purpose of today's inspection. Below is a summary of what was observed:

Infection Control: LPA Colvin observed that the facility has an updated Infection Control Plan on file and is demonstrating best practices in the facility to maintain a healthy environment for staff and residents.

Physical Plant: LPA Colvin toured the facility and observed that there a sufficient bedrooms and bathrooms for both staff and residents. LPA Colvin observed the required furniture and linen to be present and in good condition in resident bedrooms. LPA Colvin observed the facility to be a comfortable temperature of 74 degrees and that the hot water in the bathroom faucets measured at 105.6, 106.5, and 105.4 degrees. LPA Colvin did not observe any obstructions to emergency exits or hallways/walkways. LPA Colvin observed staff testing the facility's carbon monoxide alarm and smoke detectors and found them to be operational. LPA Colvin observed that sharp objects like knives and dangerous chemicals were in two cabinets in the kitchen, which had the capability to be locked but were not locked at the time of the inspection. Deficiency cited . LPA Colvin toured the grounds of the facility and observed all exits to be unlocked and clear from obstruction. LPA Colvin additionally observed several broken and discarded pieces of furniture around the perimeter of the building, including in the backyard and on the left side of the building. Deficiency cited.

Operational Requirements: LPA Colvin observed the facility to be operating within their licensed capacity of 4 ambulatory residents, two of which may be non-ambulatory.

Food Services: LPA Colvin observed the facility to have the required amount of perishable and non-perishable food. LPA Colvin observed the kitchen and dining area to be maintained in a clean and healthful manner. Sufficient dishware and silverware were present for residents’ use.