Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an annual inspection. LPA met with Felicitas and explained the purpose of the visit. Administrator was contacted and was unavailable for this inspection. The Administrator's certificate expired on 10/4/2022. The survey was later joined by Marilyn Schumacher and Myla Brown.

LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 107.5 degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees. Fire drill was conducted on 9/7/22.

Fire extinguishers and Smoke detectors are operational. LPA observed centrally stored medications are kept locked and inaccessible to residents. LPA reviewed and compared resident medication vs. resident medication logs. LPA reviewed 6 resident and 5 staff files, including criminal record clearances.

All staff are fingerprint cleared and associated to the facility. First aid kit was checked and is complete. LPA observed carbon monoxide detectors in the facility.

No Deficiencies were cited. Exit interview conducted