Facility Evaluation Report

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct a post licensing visit, met with Administrator Sara Lara and explained the purpose of the visit. Census 5

LPA Lund & Administrator Sara Lara toured/Inspected the dining room area, living area, and all other areas intended for resident use. LPA observed to be furnished and maintained in compliance at this time. The Facility had a Medication closet (locked) where medication is stored. A first aid kit was observed in the medication closet to be present and contained all required components at this time.

A tour of the (3) rooms with two residents per bedroom was conducted. Furnishings for use by the residents were meet the needs of the residents. There is one linen closet, in the hallway, it was observed to contain a sufficient supply of towels and linens able to meet the needs of the clients at this time. A tour of the exterior grounds was conducted. A review of the facility perimeter fence, side gates, and walkways were observed to be maintained in compliance at this time. The facility has one fire extinguisher (11/24/24) and smoke detectors are current and in compliance with fire safety. LPA Lund observed centrally stored medications and toxins are kept locked and inaccessible to residents. The first aid kit was checked and is complete. LPA Lund observed sufficient 7- day non-perishable and 2- day perishable food supplies. LPA Lund reviewed two staff & three residents files and were in compliance.

No deficiencies were observed and cited during this visit. Exit interview held and a copy of report left.