Facility Evaluation Report

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to the facility to conduct an annual required inspection. LPA was met by Administrator Kiesha Leggs, and explained the purpose of the visit.

LPA Lund and Administrator Kiesha Leggs toured/inspected the facility to ensure compliance with Title 22 regulations. LPA Lund inspected, staff break room, staff bathroom, common areas, kitchen area, pantry area, medication room. resident bedrooms, resident bathrooms, and exterior area. LPA observed the staff areas to be clean and free from debris. Common areas were observed to have plenty of sitting and space for visitation and activities. The facility was observed to have an adequate food supply and an emergency food supply. LPA observed a backup generator, and canned goods located in the pantry. Resident bedrooms were observed to be fully furnished, clean, and free from debris. Hot water temperature was measured at 113.5*degrees F. The exterior area of the home had plenty of areas for games, outside visitation, and places to sit. Exit areas were free from obstructions. Medications, cleaning supplies, toxins, and sharps were locked an inaccessible to residents in care. The facility was observed to have a fire extinguisher, a fire pull alarm system, and heating/air condition. All of which appeared to be in working condition. Fire Extinguishers were last serviced on 10/3/2024. The last fire drill was conducted on March 12th, 2024. LPA reviewed staff files and resident files. All files were observed to be up to date with current information. No deficiencies were observed.

An exit interview was held, and a copy of report left.