Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct a pre-licensing visit and met with Sharon Basa, Administrator and Eleanor Bass, Licensee.

There are currently residents living at the facility. The facility has an approved fire clearance for 6 non-ambulatory.

LPA toured the facility inside and outside to include the living room, kitchen, bathroom, bedrooms, garage, and backyard. Resident bedrooms were equipped with proper furniture and lighting. Bedding and linens are available to the residents and observed clean. Bathrooms are equipped with grab bars, nonskid floors, hygiene supplies, and toiletry. Activities and games are available for residents. Facility is equipped with cups, plates, utensils, and cooking supplies. Hot water temperature was measured at 110 degrees Fahrenheit.

Medications were observed in a locked cabinet. LPA reviewed six centrally stored medication records with residents medications. LPA observed first aid kit with the following supplies: bandages, scissors, tweezers, and thermometer. Sharp objects and cleaning supplies observed locked.

LPA observed two days worth of perishables and seven days worth of nonperishable.

Facility is equipped with smoke detectors, carbon monoxide detectors, and fire extinguisher. Emergency lighting available when needed. Hallway and passageways were observed free of obstruction.