Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced required 1 year annual inspection visit. LPA met with facility manager and explained the purpose of today's visit.

LPA and facility manager toured/Inspected the facility and observed the living room area in a sanitary condition with required furnishings and lighting. The activity room has a large television screen in the room and comfortable furniture. The facility has two telephones, one upstairs and downstairs. The facility was equipped with smoke and carbon monoxide detectors that met regulation requirements. Fire extinguishers were last inspected on 8/10/2023. There was a board that displayed all documents required from the Department.

The laundry room was viewed as well as staff member doing laundry. LPA observed some rooms that were clean and well maintained.

The facility submitted a LIC 808 mitigation plan, which was approved. The kitchen was found in a sanitary condition and held required two day perishable and seven day non-perishable food supplies. Water temperature reads 113.7*F in the kitchen sink which meets the 105-120 degree Fahrenheit regulation. LPA observed the facility to have adequate food supply. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Facility has an emergency food and water kit.