Facility Evaluation Report

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

LPA and Administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards. Observed during the tour were sufficient furniture and lighting throughout the facility. Observed during the tour was sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 110 degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees. Fire extinguishers and smoke detectors/carbon monoxide detectors are operational.

LPA and Administrator observed centrally stored medications are kept locked and inaccessible to residents. LPA and Administrator reviewed and compared resident medication vs. resident medication logs. LPA and Administrator reviewed 1 resident and 2 staff files, including criminal record clearances. Exit interview conducted.