Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA was granted entry into the facility by Caregiver, Lorria Shatto, and discussed the purpose of the visit. The facility is an Adult Residential facility with a license capacity of (4) and a current census (3). LPA conducted an overall inspection, which included, but was not limited to, the following:

Operation/Physical Plant: The facility maintains an infection control plan and emergency disaster plan on file. The facility's staff schedule reflects 24 hour, 7 days a week care staff coverage. Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility's has two outdoor sheds which were observed locked. The facility has a living room and family room which are sufficient for client activities. The facility is equipped with operating smoke/carbon monoxide alarms, laundry equipment, and telephone service. The facility has posted in a common area: Facility license, house rules, emergency telephone numbers and evacuation sketch. The facility has a sufficient supply of bed linen, towels, and hygiene products for clients in care. Three (3) client bedrooms were equipped with beds, bed linen, nightstands, chairs, storage space and lighting. Client bathroom equipment was operating in safe conditions. The hot water in client bathroom tested at 113 degrees F. Disinfectants, cleaning supplies, sharps were kept in a locked room. No night lights were observed in the hallway leading to client bathroom. Deficiency cited.

Food Service: The facility’s two (2) dining areas and kitchen area were maintained clean. The facility has sufficient supply of cups, plates, and utensils for clients. The facility has sufficient non-perishable and perishable food for number of clients in care. The facility’s freezer temperature is maintained at zero degrees. The facility has a weekly menu available for review.