Facility Evaluation Report

Licensing Program Analysts (LPA) Liliana Silveira conducted an unannounced visit to continue a Required Annual Inspection which began on 01/09/2024. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Licensee Patricia White.

During today’s visit, LPA continued the Annual Inspection. LPA and Licensee toured the interior and exterior of the facility. LPA also reviewed staff and resident records which contained the required documents. Confidential records were stored in locked areas. The Administrator also presented proof of current business liability insurance and surety bond.

Client bedrooms contained required furniture. Where tested, hot water temperature at taps (which were used by residents for personal care) were compliant: Bathroom #1 sink was 105.1 F and Bathroom #2 sink was 105 F. The facility had at least two days of perishable food and seven days of non-perishable food present. The facility had cooking and dining utensils to facilitate resident meal service. The refrigerator’s temperature was compliant at 40 F, and the freezer’s temperature was complaint at 0 F. The facility’s ambient internal temperature was compliant at 68 F.

No deficiencies were observed or cited during today's annual inspection. LPA requested Licensee Patricia to submit a current Emergency Disaster Plan LIC 610-E/D, and Residential Infection Control Plan LIC 9282 (6/23), to the licensing office within 10 business days. Forms were provided to Licensee at the facility.

An exit interview was conducted with Patricia, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.