Facility Evaluation Report

On 8/18/22 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual visit. LPA Jensen met with Kim Contrevo and explained the purpose of today's visit.

The facility is a single story building with a sole designated entrance set up with a sign in sheet, sanitizer and temperature check for COVID screening. The front door has informational COVID signs posted as required. There is a swimming pool on the grounds that is surrounded by a gate and the entrance to the pool area was observed to be locked. The grounds and pool area were observed to be well maintained and clear of debris.

LPA Jensen toured the facility including but not limited to 2 bathrooms, 2 bedrooms, 2 kitchens, a dining room and living room. The thermostat was set at 74 degrees and falls within the regulatory range of 68-85 degrees for the comfort of the residents. The fire extinguisher was last serviced on 7/30/22 and is in compliance. The carbon monoxide detector was tested and is in good working order. A first aid kit was observed to be complete with tweezers, scissors, thermometer, manual and various wound dressings. The facility was observed to be clean, equipped with adequate lighting and free of odor. The facility keeps emergency supplies on hand including emergency lighting, credit cards, emergency food and water. The emergency disaster plan( LIC 610D) was reviewed and in compliance.

The kitchen was observed to maintain in excess of a two day supply of fresh food and 7 day supply of non-perishable food. Snacks are available and easily accessible to clients. Knives and sharp objects were observed to be stored in a locked cabinet and inaccessible to residents in care. Medications are stored in the office in a locked cabinet and are inaccessible to residents in care.

The bedrooms are double occupancy and contained lamps, chairs, dressers, and night stands for the convenience of residents.