Facility Evaluation Report

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Caregiver Merlita Condol. Administrator Shanel Pronovost and Licensee Natalie Spence arrived later during the visit. The facility's license shows a capacity for six (6) non-ambulatory residents, three (3) of which may be bedridden. Bedridden residents may reside in bedrooms #1, #2, #3, #4, and #5. Additionally, the facility has a hospice waiver for six (6). During today’s inspection there were four (4) residents in care. Two (2) current residents are bedridden and reside in bedridden approved rooms.

LPA and Administrator Pronovost toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at taps accessible to clients were all compliant: common bathroom sink by bedroom #3 was 105.2F. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment.

The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Knives were locked and inaccessible to residents in care.