Facility Evaluation Report

Licensing Program Analyst (LPA) Hiratsuka arrived unannounced at the facility to conduct a required annual inspection utilizing the inspection tool. LPA met with Administrator and explained the purpose of the visit.

LPA and Administrator conducted a tour of the facility to ensure the health and safety of residents in care. Areas toured included but not limited to: residents bedrooms, bathrooms, kitchen and the common areas. LPA observed residents in care to be eating and supervised by direct support professional. LPA observed residents rooms to be clean and sanitary. LPA observed sharps, toxins and medications to be locked and secured. LPA observed facility to have adequate activities available for residents in care. In areas toured, no immediate health, safety, personal rights violations were observed.

File review was conducted for residents and personnel records. Additionally, LPA conducted file review of facility fire drills records.

Exit interview was conducted with Administrator. A copy was provided.