Facility Evaluation Report

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced required annual inspection. The facility file was reviewed before the visit. LPA identified herself and was granted entry by Licensed Vocational Nurse, Heather Harjer to whom she disclosed the purpose of the visit. Administrator, Brian Seacord arrived at the facility during 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 five (5) were non-ambulatory.

LPA, accompanied by Director of Nursing/Registered Nurse, Charlyn Celzo 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 backup generators, they were serviced on December 15, 2023, and August 26, 2024, of this year. The facility had a power outage on October 15, 2024, staff followed emergency protocols as required, backup generators were activated, and staff continued operations as normal. The doors, toilets, and showers 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 106.6 F. There were 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.