Facility Evaluation Report

Licensing Program Analysts (LPA) Kevin Mknelly and Ryna Ayers arrived at the facility announced on 3/28/23 to conduct a Pre-licensing referencing the infection control domain. LPA met with staff designee and explained the purpose of the visit. LPA PPE was worn: surgical Mask.

LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed.

LPA advised knife drawer be repaired to lock, all chemicals be locked , all staff and resident files are complete and up to date with required information, all staff be associated to each licensed home and water taps not used by residents that exceed 120' have a warning sign, that fire doors do not use door stops routinely, and posting of the Let-Usno.

Applicant will provide proof of locking chemicals and knives prior to licensure.

Facility is in significant compliance but for what is noted.

Exit interview conducted and copy of report left at the facility.