Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an Annual Required 1 Year inspection and met with Michelle Sheldon, Administrator.

LPA and Administrator toured the facility, and found the facility clean, at a comfortable temperature with all exits free from obstruction. This facility is a one level facility, licensed for 46 Ambulatory clients. All bedrooms were observed to have the required furniture and each has its own bathroom. Shower/bath is in a separate room available to clients per request. There is a supply of extra linens available for clients to use. Extra hygiene products and linens are available. The facility provides washers and dryers for client use; large loads like blankets are done by the facility in larger machines. Water temperature in clients' bathrooms is within the required 105 to 120 degrees. Toxins are located in locked closet. Kitchen was well organized, clean and food was observed with covers. Dining area, tables and food counters were observed to be clean. The dining room provides a hydration station with a variety of infused waters which has proven to be very popular with residents. Perishable and non-perishable foods were sufficient. Facility has emergency food and water available in kitchen storage.

Fire extinguishers located throughout the facility were last inspected January 2, 2024. The facility has a hard wired sprinkler system. There are carbon monoxide detectors throughout the facility that are functional. The last disaster drill was conducted on 04/11/2024 and documented .

Medications were centrally stored and locked and a sample was reviewed. Logs are kept of medication administration and prescription receipt. A sample of facility client and staff files were reviewed and found complete. Administrator certificate for Michelle Sheldon is effective until 5/31/2025. Staff have proof of current First Aid/ CPR.