Facility Evaluation Report

On 03/19/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced required - 1 year inspection visit. LPA met with caregiver Raymond Jones and explained the purpose of today's visit.

This is a 2 level facility. On the main floor is the kitchen, living room, one resident room, and office area adjacent to the front door. There is only one full bathroom in the facility and it is located on the main floor. The bathroom does contain the required items including non-slip flooring in the bathtub/shower. Water temperature is tested at 120F. Bathroom appeared clean. Kitchen is inspected and laundry area is also located in the kitchen area. Both areas are in place, clean, and functioning. Food supplies are inspected and per observations, there is not enough 7 day non-perishable and 2 day perishable food in place. LPA observed several boxes of Stouffers stuffing, 3 packages oflong grain rice in small packages, 6 cans of beans, 2 cans of cream of chicken, container of powdered lemonade as part of the 7 day supply. Fresh food supply is observed as one back of mixed salad, one bag of large carrots, one small container of tomatoes, and no juices or milks. In the kitchen there is a fire extinguisher last being inspected on 10/19/2021 but the charge level on the dial reads within the green/normal range. There are other random items observed as well in the refrigerator but does not lend towards the food supply. On the second floor there are two more resident rooms. Rooms contain required furniture items. Evacuation routes are free and clear of obstructions. Facility does not handle resident money according to staff present. LPA also observed smoke and carbon monoxide detectors in place. Knives are locked away and medications as well.