Facility Evaluation Report

Licensing Program Analyst Ryker Heberle (LPA) conducted an unannounced annual inspection on 07/21/2022 at 02:50pm. LPA met with facility lead staff member Ronaldo Rapisura (Admin) and began the inspection..

LPA toured the facility, including hallway, kitchen, living room, all bedrooms, 2 bathrooms, dining room, back yard, office, and garage. LPA was screened for symptoms and temperature was taken. All staff observed to be wearing masks. Admin confirmed that all staff and all residents have been vaccinated.

Facility noted to not have a 30 day supply of PPE on account of a shortage of N95s No prohibited items noted in resident rooms. All rooms in facility noted to be clean and well maintained. Hand sanitizers and soap were observed to be available. Paper towels not observed in resident bathrooms. At least 2 days' supply of perishable food and at least 1 week's supply of non-perishable food was observed on the premises. Fire extinguisher observed to have been inspected in January of 2022.

Smoke/carbon monoxide detectors were tested and observed to be operational. Hand washing signs were not observed in the facility bathrooms. Water temperature observed to be 105.1 *F in facility bathroom. Facility temperature observed to be 78*F. No social distancing signs were observed to be posted in any public areas.

LPA noted trampoline in facility backyard. LPA asked Admin if trampoline was a noted activity in facility records, Admin stated that it was. Admin further clarified that residents are always supervised while using the trampoline.

No deficiencies cited during today's visit. Advisory notes issued. This report was reviewed with lead staff member Ronaldo Rapisura, and a copy of the report was provided.