Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Co-administrator Donald Fletcher (CA) arrived later and was available by phone. LPA also spoke to licensee Sophie Fletcher via Facetime. Facility currently has six (6) residents, four (4) of which are currently on hospice. While CA was at the facility LPA discussed with CA the front ramp hand rail in middle section on the right hand side. Rail is slightly loose and separated from the next following piece of rail. Rail does not present as a hazard, but could present as a potential issue in the future should it become looser. CA will fix rail piece.

Administrator is Sophie Fletcher Administrator Certificate 7019221740 expires 5/19/27. Co-administrator is Donald Fletcher Administrator Certificate 7022153740 expires 10/4/26.

At approximately 9:30am LPA toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered and labeled with opened dates present. LPA observed kitchen cabinet under sink to contain disinfectants and cleaning supplies. Cabinet has magnetic locking mechanism. All other cleaning products and laundry soaps are secured and inaccessible to residents in care.

All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathrooms had required bath mats and grab bars. Water temperature in sinks measured at 107.8 degrees F in the main bath, 107.1 degrees F in the kitchen and 108.1 degrees F in the back bathroom all of which are within the allowable range of 105 to 120 degrees F. Facility has a small half bath used by staff only.