Facility Evaluation Report

On 9/16/22 at 10:00am Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a quarterly health and safety check. LPA Jensen met with Administrator Elizabeth Abesa and explained the purpose of today's visit. Upon arrival LPA Jensen was screened for COVID-19 and signed in at the front entrance.

LPA Jensen observed the ambient temperature in the facility to be 72 degrees which falls within the regulatory range of 68-85 degrees. LPA Jensen measured the water temperature in 1 bathroom at 129.7 degrees, there was a caution hot water sign posted above the faucet. LPA Jensen observed a 2 day supply of perishable food and a 7 day supply of non-perishable food on site. No expired food was observed at the facility. LPA Jensen observed lunch service which consisted of broccoli, rice, macaroni and cheese and fish sticks with the option of chicken nuggets for anyone that doesn't eat fish. At 11:30am LPA Jensen observed traps in the kitchen for rodents and rodent droppings on the floor of the facility kitchen in 2 places, on each side of the dividing wall that separates the kitchen and the dining room. LPA Jensen interviewed Administrator Elizabeth Abesa who advised that they have a contract with a pest control company Terminix who is on schedule to come out bi-monthly. The Administrator confirmed that because the facility is located in a rural agricultural area there are rodents and the pest control company is working with the facility to eradicate the problem.

LPA Jensen reviewed two staff files for staff 1 (S1) and staff 2 (S2). S1 had verification of completion for on-line training for CPR that was completed in 2021 but a certification of completion that includes hands on practice and evaluation was not present in the file. The resident file for S2 did not contain a CPR certificate or any evidence of CPR training. LPA Jensen interviewed the Administrator regarding the CPR certifications.