Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by LPT. Janet Tanedo, Administrator arrived later at approximately 9:00am. Facility contact information was reviewed.

At approximately 9:00am LPA and Admin 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. Kitchen cabinet containing cleaning supplies was locked. Cleaning and laundry supplies located in the garage were secured and locked.

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 sink(s) accessible to residents in care measured respectively at 107.5 and 116.9 degrees F which is within the allowable range of 105 to 120 degrees F.

Fire extinguishers were last inspected 07/27/2023. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drill was conducted on 01/04/2024. Facility has a backup generator for use during a power outage.

At approximately 10:00am LPA and Admin did a spot check of cash resources and cash records for four [4] out of four [4] clients. All resources logged accurately.

At approximately 10:15am LPA conducted a review of five [5] out of five [5] resident files and five [5] staff records. All required documentation present and current. Resident R1 currently being assessed for wheelchair needs, Admin to send over exception request for any needed postural supports.