Facility Evaluation Report

On March 28, 2024 at 1:05 PM, Licensing Program Analyst(LPA) John Calandra arrived at the facility, to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Elvira Cano, Direct Support Professional, and explained the purpose of his visit. Nina Aliason, Administrator, arrived later during the visit.

LPA Calandra took a tour of the physical plant. This is a one story building with 4 bedrooms (3 resident bedrooms and 1 staff bedroom) and 2 bathrooms. Hot water in all bathrooms was measured within the required 105-120 degrees Fahrenheit (118.4 and 118.9). No accessible bodies of water or hazards were observed in the hallways or back and front yards. Fire Extinguishers were observed to be fully charged and last checked on April 7, 2023. The facility was maintained at a comfortable temperature of 69.8 degrees Fahrenheit. The facility Carbon Monoxide and Fire Alarms were observed to be in working order except one in the facility's Atrium. LPA observed Administrator, Nina Aliason reaching out to her contractor to schedule a date for him to come to the facility to fix it. The facility has the required 7 days of non-perishables and 2 days of perishables on hand. No expired food was observed. The facility refrigerator and freezers' temperature was within the required range. The facility washer was observed to be in working condition however, the facility dryer is non-operational at this time.

All Personal and Incidental(P&I) monies were accounted for.

During the visit, LPA Calandra requested and received the following documents:

A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility.