Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced required annual visit to the facility. LPA met with Administrator, Heidi Charette and discussed the purpose of the visit.

The facility is a Residential Facility for the Elderly (RCFE). Facility license capacity is (75) with a hospice waiver for (12) and a current census of (46). LPA conducted an overall inspection of the facility, which included but not limited to, the following:

LPA inspected the facility inside and out. Indoor and outdoor passageways were kept free of obstruction. The facility has sufficient activity space for residents in care. Planned activities were posted in a common area. The facility is maintained at a comfortable temperature of 75 degrees F. Facility has no outdoor bodies of water and no firearms. Outdoor facility space is gated for the protection of clients in care.

LPA inspected the kitchen. Facility has sufficient non-perishable and perishable food the number of clients in care. Food is stored in a safe and healthful manner. Sharps are kept locked and inaccessible to clients in care. Refrigerators are working properly and tested at a temperature of 39 degrees F. Kitchen and dining areas are clean and sanitary.

LPA inspected (4) clients bedrooms. Bedrooms are equipped with mattresses, nightstands, chairs, storage space, sufficient lighting and linen. Faucets hot water tested between 105 and 115 degrees F.

LPA inspected (4) facility showering rooms. All equipment working properly and hot water tested between 106 and 107 degrees F.

Facility carbon monoxide and smoke alarms were working properly. Fire extinguishers were fully charged and serviced in May 2023. Facility telephone service is working properly.

Emergency disaster plan, theft and loss programs, personal rights, Ombudsman contact and Licensing Complaint posters were posted in a common area. Fire and evacuation drill was conducted on 4/23/2023.