Facility Evaluation Report

On 07/26/2023, Licensing Program Analysts (LPA)'s Jaynae Boyles and Kerry Hiratsuka, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA's met with Facility Administrator, Nora "Monika" Bente and explained the purpose of the visit.

LPA's Boyles, Hiratsuka and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, garage, backyard, and common restrooms. LPA's observed the facility to be clean, in good repair and odor-free and each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, trash can with lids and 20-second hand-washing poster. Facility has a 2-day perishable and a 7-day non-perishable amount of food. Hot water temperature was measured at 110 F. LPA's observed three (3) fire extinguishers which are in need of servicing, fire detectors, and carbon monoxide detectors. In the areas toured no immediate health, safety, or personal rights violations were observed.

LPA's reviewed a total of two (2) residents' files and two (2) staff files.

Fire extinguishers are a month out of date. Administrator stated she called in May to schedule the appointment to get them serviced and stated in the past they have also arrived unannounced. Administrator stated she is going to call them today and make an appointment. The tag shows the extinguishers are normally serviced on time. This is the reason a deficiency is not cited.

No deficiencies are being cited as a result of today’s inspection.

Exit interview conducted and copy of report left at the facility.