Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Parks arrived on Monday January 22, 2024 to conduct the unannounced annual inspection.

LPA met with Administrator Dinah and explained the purpose of the visit.

During today's visit, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed 4 client files and 2 staff files. All client contained the required paperwork. All staff files contained the required paperwork and training.

LPA and Administrator toured facility together to ensure the health and safety of clients in care. Areas toured included common area, bathrooms, bedrooms, kitchen and backyard. Facility has a full supply of PPE. Cleaning products are kept locked and inaccessible to clients. Medications are kept locked in dining room. Facility is current on fire drills. First Aid kit is fully stocked. In the areas toured no immediate health, safety, or personal rights violations were observed.

LPA requested the facility send an updated LIC500 to the Regional Office.

No deficiencies cited. Exit interview conducted and copy of report left at the facility.