Facility Evaluation Report

At approximately 9:30 AM, Licensing Program Analyst (LPA) Stefanie Mutialu conducted an unannounced Annual Required inspection to this facility and met with Joanna Hall, Lead Caregiver (LC). At approximately 9:35AM, LPA and LC toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. The amount of fresh and non-perishable foods was within regulation. Toxins are secure and not accessible to clients. Medication is centrally stored and secure. There is a sufficient supply of hygiene products and linens on hand for client use. Two out two client rooms were inspected and found to be within regulation. Mattress pads were in place or available for Client use. Water temperature measured within regulation between 114 and 116 degrees F at three if three faucets accessible to clients. Six out of seven smoke detectors were inspected and found to be in working order. One of seven smoke detectors and one out of one carbon monoxide detector was not found to be in working order. LC will replace batteries and provide proof of correction to LPA. One out of one fire extinguisher was fully charged and inspected on 01/05/2024. Disaster Drills are conducted quarterly with the last drill conducted 02/17/2024.

At approximately 10:20 AM, LPA reviewed two of two Client records which were all found to be well organized, thorough and contained the required documentation. At approximately 10:45 AM, LPA reviewed two out of two staff records which were all found to be well organized. One staff file is missing health screen and TB results. Per LC will provide to CCL. First aid and CPR certification were current in staff files reviewed. P&I monies were documented, secure and not commingled. Administrator's Certificate for Myrtle Hall certificate #7006901735 is current and expires on 12/03/2024.