Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Manzoor Massey, Administrator and discussed the purpose of the visit.

The facility is a Residential Care Facility for the Elderly (RCFE). License capacity of (6) clients with a current census of (5). Hospice waiver for (2). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following:

LPA inspected the facility inside and out. Indoor and outdoor passageways are free of obstruction. The facility has sufficient lighting and is maintained at a comfortable temperature. Fireplace is adequately screened . LPA observed outdoor pool is empty and enclosed with a locked fence inaccessible to clients in care. Backyard is also secured with latched gates.

LPA inspected the kitchen. The refrigerator and freezer are operating in a safe and healthful manner. Hot water temperature is maintained at 106 degrees F. Facility has sufficient non-perishable and perishable food supply for the number of clients in care. Facility has sufficient cups, plates, and utensils for client use. Facility food is stored in a safe and healthful manner.

LPA inspected client bedrooms. Bedrooms are equipped with beds, linen, nightstands, chairs, and sufficient lighting.

LPA inspected client bathrooms. Bathrooms are operating in a safe and sanitary condition. The hot water temperatures in bathrooms tested between 106 and 108 degrees F.