Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an annual inspection. LPA met with D. Allas and explained the purpose of the visit.

LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies.

Fire extinguishers and smoke detectors are operational. Fire drill was conducted on 5/09/2022. LPA observed centrally stored medications are kept locked and inaccessible to residents. LPA reviewed and compared resident medication vs. resident medication logs. LPA reviewed 4 resident and 3 staff files, including criminal record clearances. During the file review for Staff, LPA observed expired First aid cards for 2 of 3 Staff members reviewed.

First aid kit was checked and is complete. LPA observed carbon monoxide detectors in the facility.

Deficiencies were cited on the attached 809D page.

Exit interview conducted and appeal rights given.