Facility Evaluation Report

On 05/23/2022 at 2:30 pm, Licensing Program Analysts (LPAs) T. White and R. Campbell arrived unannounced to conduct a Required 1-year annual inspection. LPAs met with Caregiver, Stevie Mudrow and explained the purpose of today’s inspection. LPAs later met with On- Call Administrator, Lorrena Goodenough. LPAs were allowed entry into the facility that is licensed to serve a total capacity of 6 residents.

LPAs toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 77 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 106 degrees Fahrenheit. There is a minimum of 7-day supply of nonperishable and 2-day perishable foods.

Smoke detectors and carbon monoxide were in operating condition during inspection. Fire extinguisher was last serviced on February 03, 2022. First aid kit was observed to be complete. Fire drill was last conducted on 05/2022. LPAs reviewed 5 resident files and 3 staff record files.

Exit interview conducted with On - Call Administrator and a copy of report emailed..