Facility Evaluation Report

Unannounced annual visit made out to this facility on 09/13/2021 by this LPA who was met by the facility house manager, Sabrina Mendez, and the facility designated Administrator, Laura Proctor, who were briefly interviewed at this time.

This facility is licensed to serve and accept up to 22 residents who are deemed to be ambulatory and non ambulatory as well. This facility is able to accept and retain vendorized Level II residents.

Dining areas, living areas, and all other areas intended for resident use were toured. It was observed that furniture and furnishings were sufficient and able to meet the needs of the residents at this time.

Kitchen area was toured. Cabinets and drawers were reviewed for adequate supplies at this time.

Food storage units, facility refrigerator unit and freezer unit, were reviewed for adequate 2-day perishable and 7-day non perishable quantities at this time. Pantry area housing dry goods and products was toured as part of the facility laundry room. Medication cabinet, located in kitchen area, was reviewed at this time. Policies and procedures were discussed with the facility staff in regards to dispensing, documenting, and communication for all involved parties. Medication with narcotic lock boxes and separate refrigeration units for such medications were observed to be in use at this time.

First aid kits were observed to be present and contained all of the required components at this time.

Fire extinguishers were observed to have been annually inspected on 09/22/2020 by the local fire equipment company and found to be in compliance at this time. Discussion was held with facility personnel that the due date was fast approaching and informed that a schedule was already in place for the annual review.

A tour of the resident bedrooms was conducted. Bedroom furniture and furnishings were observed to be sufficient and in compliance at this time.

A tour of the resident restrooms was conducted. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees. Grab bars and non skid mats/surfaces were observed to be present and in good repair at this time.