Facility Evaluation Report

Licensing Program Analyst (LPA) Hansen, arrived unannounced to conduct an Annual Required 1 yr. Inspection and was welcomed by Monette Temple(caregiver), Administrator, Eric Moessing was contacted by staff and arrived during inspection. Facility has a fenced perimeter. There is a total of 14 residents, 9 of which have dementia diagnosis. There is 1 resident currently on Hospice.

LPA initiated a tour of the facility at 8:40 am and made the following observations: Facility was a comfortable temperature and free from obstructions. Activity calendar observed and menus posted. Required postings were observed. Resident rooms were furnished per regulation. Water temperature in resident's bathroom faucets measured between 114.4 and 122 degrees F falling out of Title 22 acceptable range of 105 to 120 degrees F in 1 out of 4 resident’s bathroom faucets (see LIC 809-D). Extra hygiene products and linens were available. Bathrooms had required bathmats and grab bars. Toxins were in a unlocked cabinet in the kitchen (see LIC 809-D). Laundry room containing cleaning supplies were locked. Medications are centrally stored in the medication cabinet in the kitchen which was locked at the time of inspection; although LPA observed with caregiver unlocked closet next to front door containing multiple medications needing to be destroyed, accessible to residents in care 87465(i)(see pic)(see LIC809-D)

Fire extinguisher was last inspected 10/18/2022. Facility has a hard wired smoke alarm system that is maintained by a vendor and inspected by the local fire department. Facility's last service was conducted Jan, 2023. Carbon Monoxide detector tested and found to be working. Last Disaster Drill was conducted on 8/23/2023. Auditory alarms were functional at the time of visit. LPA observed a few residents walking around the facility with a staff person to get exercise and facility was providing live piano with sing along.