Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced required 1 year annual inspection visit. LPA met with licensee/administrator Grace Maneul and explained the purpose of today's visit.

Prior to entry LPA observed that the exterior of the facility is undergoing renovations/painting. No walkways are obstructed prior to entry. No renovations are taking place inside the facility that may affect residents in care. LPA was allowed entry to the facility. This is a single level facility and is licensed to serve 6 residents all of whom may be non-ambulatory. Facility has a hospice waiver on file for 4 residents. There are 2 residents on hospice during today's visit. Annual Fees are current. The physical plant is toured inside and outside to ensure the safety of the residents. During today's visit LPA observed all residents, one of which was still sleeping in bed, and the rest are in common areas. LPA observed the facility kitchen which is located adjacent to the dining room. Knives are stored within the kitchen in a cabinet adjacent to the sink. Medication cabinet is observed as lockable adjacent to the stove and above the counter. It is unlocked at time of inspection due to staff distributing medications and preparing. Perishable and non-perishable food items are observed as in place in the refrigerator in the kitchen. Additional refrigerators are observed and contain additional food items in the garage area. Resident medications are in place and current. The first aid kit is maintained and is complete with required items as observed in an emergency back pack.