Facility Evaluation Report

On Monday October 25, 2023, Licensing Program Analyst Kevin Mknelly arrived to conduct the unannounced annual inspection. Administrator arrived to assist.

During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (5) and staff files (3). All resident files contained the required paperwork. All staff files contained the required paperwork and training. One LVN and two DSP's were present to assist with care.

Facility had a full supply of PPE including face shields, surgical masks, N95s, and gowns. LPA observed the facility's emergency food and water supply. Facility was clean and well organized. Facility is current on fire drills, conducted monthly with staff. LPA reviewed the facility's generator testing logs. All required posting were observed. Facility has fire extinguishers with a current inspection. Facility has a fully stocked first aid kit.

LPA Mknelly and LVN toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, common areas, garage and backyard. In the areas toured, there were no health or safety violations observed.

No deficiencies cited. Exit interview conducted. A copy of this report provided.