Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with Administrator, Geoff Curtis, and stated the reason for today's inspection. Also present was staff, Mureen Johnson, and then staff, Sofia Minor. LPA observed (3) residents present. (1) resident was transported by a non-emergency provider to the hospital during the inspection and will return later today. The facility participates in a local program that allows for temporary/respite stays. There are currently (3) residents and (1) resident under hospice care). There is an approved waiver for (2) hospice.

LPA and the Administrator toured the interior and exterior of the facility including the common areas, (2) private resident bedrooms, (2) shared resident bedrooms, (2) resident bathrooms, kitchen, laundry and garage. LPA observed the facility to be clean, in good repair and to have sufficient furniture and lighting throughout. The bathrooms have the necessary grab bars, skid-resistant flooring and hygiene supplies. LPA observed 2+day perishable, including fresh produce, and 7+ day non-perishable food. Sharps and toxins are locked in the kitchen and medications are secured nearby. Hot water measured 116*F in the kitchen and inside temperature measured 71*F. Fire extinguisher last serviced April 11, 2025. Smoke/monoxide alarms are functioning, and there are lanterns that convert to flashlights. There are sufficient linens/towels/blankets, PPE supplies, and a complete First Aid kit. Required postings are visible in the common area. There are (2) unlocked exit gates in the backyard and patio seating.

LPA reviewed all (3) resident files. Files were organized, current and complete. Medications were reviewed for (1) resident- no discrepancies noted. Staff is current with required annual training, including First Aid/CPR. Administrator has current RCFE Administrator cert #6070895740- exp 5/30/26. LPA requested an updated copy of liability insurance. There are no citations issued in this report. Exit interview. Copy of report to be emailed.