Facility Evaluation Report

Licensing Program Analyst (LPA) Jose De La Cruz made an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Director Megan Amey. The facility's license shows a maximum capacity of eighty five (85) residents, ages 60 and above, 47 of whom might be non-ambulatory on first and second floor. Hospice waiver granted for 10 residents.

LPA arrived at 8:20 am, while a resident was being transported to the hospital, and fire alarms were being checked.

At 2 pm, LPA, Licensee, Resident Care Director and Director toured the facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings and were personalized by the clients. Doors, windows, screens, toilets, and showers were in working order. Extra linen and hygiene supplies were present, as well as Personal Protective Equipment which was stored in different spaces through the facility. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days of non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Toxic chemicals or poisons were locked and not accessible to clients. During the visit, LPA noticed a drain grill open close to the kitchen, which was then closed by staff.

Medications were labeled, as required, and stored in locked areas. No bodies of water or fireplaces on the premises. Per Licensee, no firearms or ammunition are kept at the facility.