Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Staff Abijuan Burchell. During the visit, LPA observed 3 residents and 2 staff. LPA explained the purpose of the visit.

Staff S1 contacted ADM at 2:02pm. LPA informed ADM, via phone call, that LPA was conducting their annual inspection. ADM stated he could not come to the facility and stated staff S1 could sign on his behalf.

LPA toured the facility inside out with S1 which included the Living room, kitchen, dining room, 2 restrooms and 5 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways.

While touring the facility garage, LPA observed the door which leads to the garage does not have a locking mechanism. (Photograph was taken.) LPA observed the facility garage has an assortment of detergents and other cleaning liquids and sprays on the ground, accessible to residents in care. (Photographs were taken.)

While touring the backyard, LPA observed a storage shed in the backyard. LPA asked S1 to open the storage shed. S1 informed LPA the storage shed does not have a lock. LPA observed inside the storage shed, a container of gasoline, paint and other tools. LPA opened container of gasoline and confirmed the container had gasoline liquid inside. (Photograph was taken.)

Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area as locked and inaccessible to residents in care. Room temperature was at 76 degrees F, and hot water temperature was measured to range from 116-118 degrees F in both resident bathrooms.