Facility Evaluation Report

Unannounced annual visit made out to this facility on 05/25/2022 by Licensing Program Analysts (LPAs) Charlie Yang and Arielle Pascua who were met by the facility Program Manager Elizabeth Sauers who was interviewed.

LPAs set up in a separate pod building in the rear of this facility.

Kitchen area was toured. Cabinets and drawers were reviewed for an adequate supply of plates, silverware, and other items intended for use by the residents.

Food supply was reviewed for an adequate supply of 2-day perishable and 7-day nonperishable food quantities at all times. LPAs observed several food storage units within this facility in the form of additional refrigerator and freezer units.

Medication room was toured. LPAs observed the use of a medication cart that was locked and made inaccessible to the residents at all times. This facility employed the use of an E-MAR system, Point Click Care, to dispense, manage, and document all medications for the residents at this time.

First aid kit was observed to be present and contained all of the required components at this time.

Fire extinguishers, located throughout this facility, were observed to have been annually inspected on 05/09/2022 by Armor Fire Extinguisher Company and in compliance at this time.

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.

A tour of the resident restrooms (3) was conducted. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees.

A tour of the laundry area was conducted. It was learned that residents were scheduled on a weekly basis to wash and dry their own clothes with the assistance of facility staff if necessary. Laundry detergent, bleach, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time.