Facility Evaluation Report

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced required annual inspection. The facility file was reviewed prior to the visit. LPA identified herself and was granted entry by Licensed Vocational Nurse, Heather Harjer to whom she disclosed the purpose of the visit.

According to the facility’s license, the facility has a maximum capacity of five (5) non-ambulatory of which five (5) may be bedridden. During today’s inspection, there were a total of five (5) clients in care of which four (5) were non-ambulatory.

LPA, accompanied by Staff, Lisa Rheam, toured the interior and exterior of the facility and inspected the rooms. The facility was clean and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required medical equipment and furnishings to meet clients needs. The facility is equipped with two back up generators. The doors, toilet, and shower were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s internal temperature and refrigerator and freezer temperatures were within the regulatory range.

During today’s visit, LPA observed, via measurement with a thermometer, was within the regulatory range, at 107.6. There was at least 2 days of perishable food, and at least 7 days of non-perishable food present, all safely stored. There was plenty of food for clients at the facility. Cooking/dining equipment and utensils were present. There were no sharp objects, or toxic chemicals/poisons, accessible to clients. Medications were labeled, as required and stored in locked areas. Confidential records were appropriately stored. No pools or bodies of water were observed on the premises.