Facility Evaluation Report

On 2/26/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual visit. LPA Jensen met with Licensee Marinela Placintar and explained the purpose of today's visit.

LPA Jensen toured the grounds and physical plant. The grounds were observed to be well maintained and all paths were free of obstruction. There is outdoor furniture and shaded areas available for clients to enjoy outdoor activities. LPA Jensen toured the interior of the facility. The facility sketch was observed to reflect the current layout. There is hospice waiver for 4. The current census is 6. The facility was observed to be sanitary and free of odor. The layout of the physical plant is very open and easily accommodates residents with specialized mobility needs. The facility had adequate lighting and furniture. All furniture was observed to be in good repair. The facility maintains a 2 day supply of perishable food and a 7 day supply of non-perishable food. There was no expired food observed.

LPA Jensen reviewed the Emergency disaster plan and determined it to be in compliance. LPA Jensen reviewed the fire drill log and determined it to be in compliance. The smoke detector was determined to be in good working order. The carbon monoxide detector was determined to be in good working order. The first aid kit was determined to be complete. All sharp objects and toxins were observed to be locked and inaccessible to residents in care. Water temperature was measured at 115 degrees.

LPA Jensen reviewed 5 of 5 staff files. 2 of 5 staff files were missing health screens. Technical assistance was provided. LPA Jensen reviewed 6 of 6 resident files. 6 of 6 files had Needs and Service Plans that were not signed by the resident or responsible party. Technical assistance was provided. 1 of 6 residents did not have a TB test on file. 1 of 6 residents did not have an LIC 602 within the last 12 months.