Facility Evaluation Report

Licensing Program Analyst (LPA) Erika Miller arrived at 9:15 a.m. to conduct a 1-year required annual visit. LPA met with Johanna N. Membrebe, Administrator. LPA was authorized to enter and inspect facility.

A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit:

Infection Control: The facility has a current Infection Control Plan. The facility has at least a 30-day supply of PPE. Quarantined or isolated individuals will have meals and medication delivered to rooms. Staff are trained on infection control and the use of Personal Protective Equipment (PPE).

Physical Plant & Environment Safety: LPA toured resident rooms and observed that rooms were sufficiently tidy. The lamps are sufficient for the use of the facility and for resident comfort. Toilet, hand washing and bathing facilities are operational. The showers have non-skid mats. The pathways are clear of any obstructions. Disinfectant and cleaning solutions are inaccessible to residents in care and locked in garage. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced backyard for client use with plenty of shade. The facility has telephone and internet service for resident use. The fire extinguisher was last charged and inspected on 10/15/24. The facility has smoke and carbon monoxide detectors that were tested and inspected.