Facility Evaluation Report

**This report was Amended to clarify deficiencies and remove one deficiency.**

On August 15, 2024, Licensing Program Analysts(LPAs) John Calandra and Kiran Jain arrived at the facility at 1:25 PM to complete the Annual 1-year required inspection. LPAs Calandra and Jain were greeted by Lany Becker, Caregiver and explained the purpose of the visit. Christina Dee-Hoskins, Administrator/Licensee joined the visit later.

LPAs Calandra and Jain toured the physical plant. This is a 10 bedroom and 4 bathroom, multistory building with a front and backyard, living room, kitchen, staff quarters, and garage. All bedrooms had the required furniture and sufficient lighting. No accessible bodies of water or hazards were observed. The facility's fire extinguishers were observed to be fully charged and last checked on 3/14/2024. The facility's fire alarms and carbon monoxide detector were observed to be in working order. The fire alarm system was last inspected on 7/14/2022 and expires on 7/14/2027.

A Type A Violation was provided for having a faucet that delivers hot water temperature measured at 135.7 degrees Fahrenheit far above the required range of 105-120 degrees Fahrenheit.

A Type A Violation was provided for not ensuring that soap and disinfectants are not locked up and in-accessible to persons in care.

A Type A Violation was provided for having medications left out on the kitchen counter that were unlocked and accessible to persons in care.