Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived at 9:10 am to conduct a 1-year annual visit to the facility above. LPA met with Back-Up Administrator, Cheryll Estacio, Administrator Yolande Kamto, and Licensee Alphonse Kamto 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:

Physical Plant & Environment Safety: The facility has 5 resident bedrooms, 2 bathrooms and currently occupies 3 residents. The facility has smoke and carbon monoxide detectors that were tested and working properly during visit. The lighting and lamps are sufficient for the use of the facility and for resident comfort. Toilet, hand washing and bathing facilities are operational and secure grab bars are present. The showers have non-skid mats or textured bottoms. A schedule for resident’s showers was posted on the refrigerator door. All residents require assistance in bathing so a plan to ensure all residents receive their showers is tracked. The pathways are clear of any obstructions. Disinfectants, cleaning solutions and poisons are inaccessible to residents in care locked under sink and in the garage. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced backyard with gates on both sides of the home. The facility has telephone and internet service for resident use.

Operational Requirements: The facility has a current plan of operation on file with the department. The facility has current liability insurance and expires on 01/07/27. The facility is approved for a capacity of six. The fire clearance is granted for 6 non-Ambulatory of which 4 may be bedridden. Hospice is approved for 4. There are currently 3 residents.