Facility Evaluation Report

On 4/17/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Andrea Stilleson, Program Director and explained the purpose of the visit.

LPA toured the physical plant. This is a 4 building facility with 10 bedrooms, 8 bathrooms, 4 dining rooms, 4 living rooms, a garage used for storage and a gym. All bedrooms had the required furniture and sufficient lighting. No accessible bodies of water or hazards were observed in hallways or the backyard. The facility's fire alarms and Carbon Monoxide detector were observed to be in working order. The facility's first aid kit was observed to have all required items. The facility's hot water temperature was measured within the required 105-120 degrees Fahrenheit. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. The facility's fire extinguishers were last serviced on 09/16/2024.

All sharp objects, soap, detergent, and poisons, were observed to be locked and in-accessible to persons in care.

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 kept at the facility.

LPA reviewed 5 resident records and 6 staff files. All were observed to be complete.

No deficiencies were cited during today's visit.

An exit interview was conducted. A copy of this report was left at the facility.