Facility Evaluation Report

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct a one year required inspection. LPA Lund meet with staff and later with Administrator Sherinie Buenviaje and explained the reason for the visit. Census:3

LPA Lund & Administrator Sherinie Buenviaje toured/inspected the clients rooms. All had the required furniture furnishings and lighting to be in compliance at the present time. LPA also viewed staff quarters as depicted on facility sketch. The LPA inspected the kitchen. All knives and sharps were locked and inaccessible to residents in care. The food supply was adequate for 2-day perishable and 7-day nonperishable. All foods in the refrigerator and freezer were packaged and dated appropriately. The fire extinguisher was last serviced on 03/6/25 by River City Fire Extinguisher Company and was in compliance at the time of inspection. LPA inspected a total of 2 bathrooms. Each contained soap, paper towels, and trash cans with lids as required. Hot water was measured to ensure the temperature was between 105 and 120 degrees Fahrenheit in order to be in compliance.

The LPA observed medications were stored in a locked cabinet in the kitchen and inaccessible to residents in care. Medications were primarily the pill packs. LPA reviewed storage, dosing, and destruction procedures. A review of the First Aid kit by the LPA found it to be complete and in compliance. The exterior of the building was inspected by the and is in compliance. LPA reviewed 2 staff files and all were in compliance at the present time. LPA reviewed 3 resident files and all were in compliance at the present time No deficiencies were observed or cited during today's visit. A copy of this report was provided.