Facility Evaluation Report

At approximately 10:00am, Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection. LPA was greeted by facility Administrator(admin) Charnell Marie Davis Facility is a four(4) bedroom and two(2) bath Residential Care Facility for the Elderly that has a fire clearance approved for four(4) non-ambulatory residents and an approved hospice waiver for two(2). Two(2) residents were attending day program during visit.

LPA toured the building and grounds which was found to be clean and in good repair. Facility was at a comfortable temperature. LPA observed all walkways and exits to be unobstructed. All required postings were in a highly visible area. Fire extinguishers were charged and last inspected 8/08/2024. Fire alarms and carbon monoxide detector were tested and operational. Signal systems throughout facility were functional. Backyard had patio chairs accessible for residents. Outdoor emergency exit clear from obstruction.

LPA observed at least a 2 day supply of perishable and 7 day supply of non perishable food. Facility kitchen, refrigerators and freezers were clean, and food was stored properly with expiration dates noted.Toxins are stored in a locked cabinet and inaccessible to residents. Sharps and knives were locked in kitchen drawer. Emergency water and food supply was stored in garage. Extra linens and towels were stored in closet with extra hygiene products for residents.

All bedrooms were equipped with lighting, a night stand and chest of drawers. All bedrooms were clean and in good repair. Resident bathroom had required bath mat and grab bar. Water temperature measured at 119.6 and 113 degrees F at faucets accessible to residents which is within the allowable range of 105 to 120 degrees F.