Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced Required Annual 1 Year Inspection Visit. LPA met with Administrator and stated the purpose of today’s visit. LPA was allowed entry into the facility that is licensed to serve a total capacity of 180 clients.

The physical plant was toured inside and outside to ensure the safety of the residents. LPA and Administrator toured the kitchen area, courtyard, front yard, bedrooms on first and second floor of the facility.

All rooms contained: Bed, dresser, refrigerator, microwave, desk, chair, railing in bathroom, and table set.

LPA observed the facility conducts fire drills every month. LPA observed medication stored and locked away inaccessible to persons in care located on second floor. LPA observed medication logged properly.

LPA observed the kitchen area in compliance. LPA observed breakfast being served to some residents in the facility. The refrigerator contained food items properly labeled and packaged. The freezer contained packaged and labeled meat. LPA observed food supplies of staple nonperishable food stored for emergency. There were perishable foods for a minimum of two days that shall be maintained.

LPA observed the courtyard in compliance and accessible to all residents of the facility. LPA interacted with a random number of residents during this visit.