Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived at 9:45 am to conduct a 1 year annual visit to the facility above. LPA met with Tammy Peterson, House Manager, and explained the purpose of the visit.

A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit:

Infection Control: The bathrooms have toilet paper, paper towels, and hand soap. The facility has EPA approved disinfectants spray and cleaners. The facility has a supply of PPE. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). All trash cans and waste baskets have tight fitting covers.

Physical Plant & Environmental Safety: The facility has 3 resident bedrooms with 1 shared resident bathrooms, and 1 private resident bathroom. There is an office with a staff restroom. Facility currently has 2 residents and employs a sufficient amount of staff to cover all shifts with 2 direct care staff per shift. The facility is clean, safe, and sanitary. The facility has smoke and carbon monoxide detectors, all but one was working, but a request for maintenance to change a smoke detector battery has been made for the one detector that wasn’t working in the living room area due to the high ceiling location. The lighting and lamps are sufficient for the use of the facility and for resident’s comfort. The facility kitchen is clean, safe, and sanitary. Toilet, hand washing and bathing facilities are operational. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care, they were found locked in the laundry room cabinets.