Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with lead staff, Emilyn Sampana .

During visit, LPA toured the facility with staff to include the kitchen, living room, dining room, resident bedrooms, staff bedroom, bathrooms, and backyard. All exit routes are free and clear of obstruction. The shed in the backyard contains storage items. All staff present are fingerprint cleared and associated to the facility. Residents observed watching a movie in the living room and one resident was asleep in bed.

Facility temperature maintained at 72 degrees Fahrenheit. Fire extinguisher last serviced on 08/15/2024. Facility has a smoke detector and carbon monoxide detector. Sharp objects, chemicals, and disinfectants observed secured in the kitchen. Chemicals and disinfectants stored separately from food supply. Medications observed in a locked cabinet. Facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods. Refrigerator temperature maintained at 38 degrees Fahrenheit. Freezer temperature maintained at 0 degrees Fahrenheit. All items inside the refrigerator observed covered and labeled. The non-perishable foods are accessible and no child lock device observed on the cabinets.

Resident bedrooms equipped with hospital beds, linens, adequate lighting, chair, and dresser. Bathroom equipped with shower chairs and grab bars. Hot water temperature in the resident bathroom maintained at 114.4 degrees Fahrenheit. SEE LIC809-C.