Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Staff S1 Abijuan Burchell. During the visit, LPA observed 3 residents and 2 staff. LPA explained the purpose of the visit.

LPA toured the facility inside out with S1 which included the Living room, kitchen, dining room, 2 restrooms and 4 residents bedrooms. There was no obstruction to block the walkways. The staff area of the facility was also inspected. The front yard and backyard were inspected.

LPA toured resident bedroom #5. LPA observed on the cabinet next to R1's bed contained a medication. LPA reviewed R1's Physician's Report dated April 22, 2021, states R1 cannot administer and/or store his/her own medications.

While touring bedroom #4, LPA observed frame missing from the door. LPA toured bedroom #2, and observed a hole, in the wall. This whole matches the path of the door for bedroom #2 opening. LPA also observed damage to the door frame in bathroom #2. LPA also observed the sliding door screen for bedroom #5 was not attached.

LPA toured the backyard of the facility. LPA observed leaves and multiple fruits in the ground, directly across from bedrooms 2 & 3, and the patio.