Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced and was greeted by DSP staff, who allowed LPA entry into facility. Bianca Fleming, future Administrator (BF), arrived shortly. There are currently 4 residents residing at the facility. LPA toured the facility with BF.

LPA found the facility to be a comfortable temperature of 74 F with all exits free from obstruction. It was clean and orderly, and had homey touches. The kitchen just received new countertops, which looked nice. The (4) residents' rooms were furnished with the required furniture and bedding. Cleaning supplies are locked in the supply closet in the hallway. There are 2 bathrooms which were stocked with handsoap, paper towels and Covid-19 signage reminding residents and staff to wash their hands. Fire clearance is approved for 4 residents. The fire extinguisher was serviced on July 12, 2023. There was one carbon monoxide detector which was tested and functioning and a hard-wired central fire detection/sprinkler system. The last fire drill was on August 21, 2023. The batteries in smoke detectors were changed on September 7, 2023. All staff are current on training. The kitchen was stocked with a 2-day supply of fresh food including fresh fruits and vegetables, and a stock of at least a 7-day supply of non-perishables. Sharps are locked in the Med-Room cabinet inside the office.

No deficiencies during today's inspection.

Exit interview conducted with Bianca Fleming.