Facility Evaluation Report

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Adom Manor Care Home for the purpose of conducting a Annual Continuation. LPA was greeted by Caregiver, Joel Karikari and was granted access into the facility. Licensee arrived 30 minutes later.

During this Annual Continuation, LPA reviewed the Emergency Disaster Plan with the Licensee. Emergency Generator was observed in the garage and ready for use. Quarterly Disaster Drill document was reviewed and the facility conducted the Quarterly Disaster Drill on June 29, 2023 with all staff on duty. LPA advised facility to contact County Public Health and Community Care Licensing immediately if symptoms or COVID-19 + in the facility. LPA interviewed staff and residents in care during the Annual Continuation. However, during staff interviews, LPA interviewed a staff member that needs more training on how to read Needs and Appraisal Plans. LPA educated the Licensee regarding ensuring that staff are trained to read the Needs and Appraisal Plans for ALL residents in care (See LIC 9102-Technical Assistance) .

LPA requested the following documents to be sent:

LIC 400- Affidavit regarding Client Cash Resources

No deficiencies were observed or cited during today's Annual Continuation. Exit interview was conducted and a copy of this report was given to the facility Licensee.