Facility Evaluation Report

On July 16, 2024 at approximately 10:00 AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived announced at Mid Valley Providers #7 for the purpose of conducting a Pre-Licensing inspection. LPA was greeted at the door by Licensee, Debbie Larmour and was granted access into the facility. Also participating in this Pre Licensing inspection are, Administrator, Shannon Dore, HR Director, Sarah Holleman, Manager, Daniell Page. The Fire Clearance was granted for 4 Ambulatory clients with 0 Non-Ambulatory and 0 Bedridden clients. Administrators Certificate (Administrator Certificate #: 7005190735 was issued on 08/11/2022 with an expiration 08/11/2024) was reviewed by the LPA during the Pre-Licensing Inspection and found to be valid and appropriate. A copy of the Administrators First Aid Certificate and CPR was valid and expires on January 2025.

LPA, Licensee and Prospective Administrator toured the facility. LPA observed the facility to be clean, safe and sanitary with all exits free from obstruction. Sample Menu was observed. Fire Extinguisher was last inspected on June 2024. All smoke detectors and carbon monoxide detectors were tested and found to be operational at the time of the Pre-Licensing inspection. The pull fire alarm was just installed. Hot water temperature measured at 110 degrees in 2 of 2 clients bathrooms. Hot water temperature is within acceptable range of 105-120 degrees. There was ample space for personal hygiene products, bedding and linens, utensils, dishes, and cook ware. Client records, personnel Records, medication will be locked and in separate cabinets, toxins are kept locked and inaccessible to clients in care. Facility will be bringing the facility first aid kit upon move in. There is an outdoor space for activities with a shaded area. Garage was inspected and found to be appropriate. During the Pre-Licensing inspection, LPA advised facility to contact County Public Health and Community Care Licensing immediately if symptoms of COVID-19 + or any infectious diseases in the facility. Emergency Disaster plan was discussed with the Administrator and the Licensee. All staff will be trained in the Emergency Disaster plan. Emergency Disaster was last conducted on July 15, 2024.