Facility Evaluation Report

On 7/11/24, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Co-Administrator, Josef Rapadas & Lead Staff, Susan Davo and LPA explained the purpose of the visit

LPA toured the facility inside and outside including all of resident rooms, garage, and kitchen area. LPA observed all residents resting in their bedrooms. Residents are currently in day program. While touring the facility it was observed that the room temperature was at 74 deg F. Hot water was also tested in the bathrooms and the temperature was 108 deg F. The facility is observed to be clean, odorless, and well maintained. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps and toxic materials were observed locked in the kitchen cabinet and underneath the sink and inaccessible to residents. Food supply in kitchen and garage freezer was observed with an adequate two day perishable and seven day non-perishable food supply. Carbon monoxide/ smoke detectors, and fire extinguisher were present throughout the facility. Facility has an updated log for emergency drill is done every quarter.

Four resident records and five staff records were reviewed. Resident’s PNI money was counted and all accounted for with proper log and receipts. Centrally stored medication was locked and inaccessible by residents. All medication was labeled and sorted by resident name. All medication logs are complete and updated.

LPA received the following documents: LIC308, Control of Property, Staff Schedule & Administrator Certificate.

No deficiencies cited today. Report is reviewed and copy is provided.