Facility Evaluation Report

Announced Prelicensing visit made out to this facility on 03/28/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated representative and Applicant, Patience Oifoh, at this time. A brief interview was conducted with the facility designated Applicant at this time.

It was learned that this facility was also seeking vendorization through Valley Mountain Regional Center (VMRC) to be able to accept and retain up to (4) Level 4I residents at any given time.

There will not be any residents under the care of hospice or home health at any time according to statements made by the facility designated Applicant.

A tour of the facility kitchen area was conducted. Drawers and cabinets were opened and the items enclosed were reviewed at this time. Drawers housing knives and sharps were observed to be locked and made inaccessible to the residents at this time.

Cleaning agents, bleach, and other supplies were observed to be locked and made inaccessible to the residents at this time.

A review of the facility food supply was conducted. A review of the facility's 2-day perishable foods and 7-day nonperishable foods was conducted to make sure that there were sufficient quantities on hand at all times.

Medication cabinet, located in a kitchen cabinet over the counter area, was reviewed. Policies and procedures involving handling, dispensing, and documentation of the resident medications were discussed with the facility Applicant at this time. A review of the facility Medication Administration Record and dispensing log was conducted.

Medication cabinet was observed to be locked and made inaccessible to the residents at this time.

Living room, dining area, and all other areas intended for resident use were observed to furnished and maintained in compliance at this time and able to meet the needs of the residents.

A tour of the resident bedrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time.