Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's required - 1 year inspection. LPA met with Administrator/Licensee, Dina Clark.

During visit, LPA toured the facility to include the living room, kitchen, resident bedrooms, bathrooms, garage, and exterior. All fire exit routes were free and clear of obstruction. There was 1 staff to 3 residents. Facility staff present are fingerprint cleared and associated to the facility. As of today, there are no residents under hospice care.

Facility temperature maintained at 77 degrees F. Kitchen supplied with at least 2 days worth of perishables and 7 days worth of non-perishable foods. LPA observed the facility has fresh fruits on the kitchen counter to include bananas, oranges, apples, cantaloupe, and watermelon. Refrigerator temperature maintained at 40 degrees F. Freezer temperature maintained at 0 degrees F . Sharp object, chemicals and disinfectants are locked and stored separately from the food supply. Lidded trash bin observed in the kitchen. At 2:15PM, the hot water temperature in the bathrooms were measured at 101.8 - 102 degrees F. During visit, licensee adjusted the hot water temperature. At 02:57PM, the hot water temperature in the bathrooms was measured at 105.8 degrees F. Resident bathroom equipped with a shower chair, grab bars, and non-slip mats. Resident bedrooms equipped with beds, linens, dresser, night stands, and adequate lighting. Sliding doors equipped with door alarms and observed clear of obstruction.