Facility Evaluation Report

On December 13, 2023 Licensing Program Analyst(LPA) Murial Han and LPA John Calandra conducted an unannounced annual inspection. LPAs met with caregiver, Arlene Oliver and explained the purpose of today's visit. The administrator arrived and assisted with the rest of the inspection.

LPAs toured the facility inside and outside including the 2 shared bedrooms, 1 full- bathroom, kitchen, and common areas. The facility observed to clean, tidy and in good repair. Bedrooms were equipped with the required furniture for residents to use. Bathroom is equipped with grab bars, and nonskid mats. Facility temperature is comfortable. Hot water temperature in the bathroom and the kitchen were measured at 140- 148 degrees F.

Central stored medication observed to be locked and inaccessible to residents in care.

Chemicals and sharp object reviewed and observed.

Staff files contain personnel records, health screening, Abuse Statement, First Aide and CPR, Criminal Record Statement, training records, etc.

Resident records were reviewed and contain medical assessment, LIC 602 (Physician Order), Appraisal Needs and Service Plan, GGRC/IPP except for 1 out of 4 residents (resident #3) did not have a facility and GGRC admission agreement.

LPAs reviewed the P & I records and observed Record of Client's/ Resident's Safeguarded Case Resources (LIC 405) and receipts for 2 residents to be adequate.