Facility Evaluation Report

On 9/14/2023 LPA Carol Fowler arrived at the facility to conducted a required 1 year Visit. LPA arrived at the facility at approximately 1:00pm and was greeted by client C1 sitting in the front yard, C1 escorted LPA into the facility and C2 was sitting in the living room watching television. C2 knocked on Caregivers bedroom door and there was no answer. C3 came from the back and told LPA that the Caregiver made a run and she will be back soon. LPA informed C1, C2 and C3 that LPA will be waiting outside in the car. LPA called the Administrator and was told staff should be at the facility and she is out of town. Administrator called staff and returned LPA call and informed LPA staff should be at the facility soon. LPA contacted LPM and was directed to wait until staff returns. Staff returned to the facility at approximately 1:45PM.

LPA toured facility and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Client rooms were furnished per regulation. Water temperature in client's bathroom measured at 106.4 degrees F which are within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Hallway closet containing cleaning supplies was locked. Facility has at least two days of perishable and one week of non-perishable foods. The refrigerator has locks to prevent residents from having access to food because, according to the caregiver, clients continue to go through the refrigerator, pantry and drawers, so they put locks on them. They leave out food for clients between meals. LPA observed a bowl of fruit on the table. LPA explained that if the facility wants to lock the refrigerator, they must request a waiver. Medications were centrally stored and locked.

The facility provides care for 6 clients all of which can leave the facility unassisted. However, no direct staff care or supervision was present for the 3 of 6 clients from approximately 1:00PM to 1:45PM.