Facility Evaluation Report

Licensing Program Analysts (LPAs) Arielle Pascua and Jason Lund conducted an unannounced Required-1 Year Inspection Visit. LPAs met with Facility Designated Administrator, Melinda Womble and stated the purpose of today’s visit. Current census was 4 residents.

This facility is licensed to serve and accept up to 6 residents who are deemed to be ambulatory only. This facility is also vendorized to accept and retain Level 4F residents at this time.

Dining areas, living areas, and all other areas intended for resident use were toured. It was observed that furniture and furnishings were sufficient and able to meet the needs of the residents at this time.

Kitchen area was toured. Food storage units were reviewed for adequate 2-day perishable and 7-day non perishable quantities at this time.

Medication cabinets, located in front area, was reviewed. First aid kit was present and observed to contain all of the required components at this time.

Fire extinguishers were observed to have been annually inspected on 01/18/2022 by the local fire equipment company and found to be in compliance at this time.

A tour of the resident bedrooms was conducted. Bedroom furniture and furnishings were observed to be sufficient and in compliance at this time.

A tour of the resident restrooms was conducted. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees.

Linen closet, located in laundry room, was reviewed and observed to be in compliance at this time.

A tour of the exterior grounds was conducted. A review of the perimeter fence, side gates, and exterior exits was conducted.