Facility Evaluation Report

Licensing Program Analyst (LPA) Victoria Bertozzi arrived unannounced to conduct an Annual Required inspection and was met by staff. Licensee/Administrator, Martha Lovejoy came later but was unable to stay. Caregiver was given permission to sign report.

LPA initiated a tour of the facility around 12:30pm and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in bathrooms used by residents measured at 109 and 116 degrees F which are within the range of 105 to 120 degrees F allowed per regulation. Extra hygiene products and linens were available. Cabinet containing cleaning supplies was locked. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications were centrally stored and locked.

Fire extinguishers were last serviced November 2022. Smoke and Carbon Monoxide detectors located throughout the facility were tested and operational. Licensee does not have record of a fire/disaster drill conducted in the last quarter.

Four staff files and three resident files were reviewed. have required First Aid and CPR certificates. Administrator Certificate for Administrator, Martha Lovejoy has expired but is on the Department's Pending List.