Facility Evaluation Report

Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to conduct a quarterly visit. LPA met with the caregiver and explained the purpose of the visit.

LPA conducted a tour of the facility and observed grass and bushes had been trimmed the one walk ways and emergency exits along the exterior was not clear. An exterior exit door from a residents room to the backyard that was propped closed had been cleared. All e xits from the interior to the exterior were clear . A tour of the interior revealed v ideo surveillance components located in the living room which have not been approved by the Department.

During the previous NCC the facility agreed to:

1. Have an Administrator present 40 hrs a week - Admin was not present during todays visit according to telephone he was moving residents out of his other care home.

2. Have accessible an updated LIC 500 which was accessible however changes need to be made and the licensee reported over the phone that one would be forwarded.

3. Facility will have available all documents for review on demand by CCL during business hours. During todays visit all some records were available on paper and some were on the computer.

4. Residents records will be complaint with RCFE regulation 87506.

5. An LIC 308 would be followed in the event the Admin was not present - the 308 provided identifies a person however that person does not hold administration certification. was not available during todays visit.