Facility Evaluation Report

On 11/29/2023, Licensing Program Analyst (LPA) Chinwe Nwogene arrived unannounced at the facility to conduct an annual inspection. LPA Nwogene was greeted and granted entry by Care Coordinator, Alice Arana who was informed of the purpose of the visit. LPA also met with Administrator, Kenyota Dokes, Clinical Director, Michelle Hayes and House Manager, Lauren Larkin who were also informed of the purpose of visit. At the time of visit there were three #3 residents present. LPA toured the facility inside and out with Lauren Larkin and Michelle Hayes.

Kitchen: LPA toured the kitchen and observed kitchen to be clean. Food is stored in a safe and healthful manner. Utensils and dishware are sufficient for the census. The refrigerator and stove are in working order. Sharps are stored in a locked safe in the kitchen, available only to authorized individuals. Trash cans has tight-fitting lids. Fridge, Freezer and all need appliances were present and shown to be in working condition and clean.

Dining and Livingroom ; LPA toured the dinning and Livingroom area. LPA observed area to be clean and furnitures in good condition. Temperature was 75 degrees Fahrenheit.

Hallway : LPA toured the hallway and observed hallway to be clean with no pathway obstruction. LPA 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. LPA observed additional linens and hygiene items.

Medications: LPA observed medications were labeled and stored inside of a locked medication cabinet and are distributed according to physician orders. The first aid kit was complete.