Facility Evaluation Report

On 1/29/2025. Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA met with FacilIty Designated Administrator (FDA), Theresa Pettapiece and explained the purpose of the visit. The purpose of this visit was to conduct an annual visit.

The facility currently has no clients. A Residential Care Facility for the Elderly is operational in the same physical plant. A brief interview with FDA Pettapiece was conducted.

All exterior paths were free of obstruction. There are shaded areas outdoors for clients to use.The facility has an activity room, a beauty salon, dining rooms, living rooms and rooms for clients to rest or shower. There is a designated medication room that is inaccessible to clients in care. The facility was observed to be sanitary and free of odor. All furniture was observed to be in good repair. There were no toxins or sharp objects observed accessible to clients in care. LPA inspected the kitchen and observed it to be sanitary and in compliance. The facility has a current and Infection Control Plan.

The facility maintains first aid kits that are complete. The fire extinguisher was last serviced in September of 2024 and is in compliance The smoke detector and carbon monoxide detector was checked and determined to be in good working order. LPA reviewed the Emergency Disaster Plan and found it to be in compliance. The facility has a generator available for use in the event of a power outage and the generator is operated monthly to ensure good working order.

Based on the observations made, no deficiencies were observed. The facility was determined to be in substantial compliance.

An exit interview was conducted and a copy of this report was provided at the end of this visit. .