Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin conducted a 1-year annual visit to the facility above. LPA met with Licensee/Administrators Jennifer Villaros and Jessica Rust and explained the purpose of the visit.

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

PHYSICAL PLANT & ENVIRONMENTAL SAFETY: The facility has five (5) resident bedrooms and two (2) resident bathrooms. There is an approved fire clearance capacity of six (6) non-ambulatory residents, of which one (1) may be bedridden. The facility has an approved Hospice Waiver for six (6) residents. The showers have non-skid floors. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care and locked in cupboards. The facility has sufficient space inside and outside for activities and visiting. This is a two (2) story facility in which the first floor is for residents in care at the facility and the second floor is specifically for Staff members. The second story is inaccessible and off limits to residents of the facility. The first-floor indoor areas of the facility consist of resident bedrooms, restrooms, shower areas, a Centrally Stored Medication area, kitchen, dining room, storage area closets/rooms, living room, family room, staff office area and an entrance area upon entry into the facility. All resident bedrooms were furnished and contained beds, chairs, bedside tables, and lamps. There is also an ample supply of linens and towels. LPA observed night-lights present in the main bathroom, kitchen, and family room. The facility contains an outside area for residents to utilize for outdoor activities/outdoor visitations and an outdoor patio area with furniture and shade. There is a locked tool shed in the backyard of the facility. The shed contained outdoor maintenance materials for the facility. The facility has carbon monoxide detectors which were tested and were working at time of visit. Fire extinguishers were observed charged and inspected last on 12/11/24. The facility is clean, safe, and sanitary.