Facility Evaluation Report

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct an annual/required visit. LPA Lund met with Administrator Ronald Dato and explained the reason for the visit. Census 3

LPA Lund & Ronald Dato inspected/toured the facility. This is a Level 4 Regional Center vendorized home. There are three client bedrooms and two bathrooms for clients and the facility currency has 4 clients. LPA observed bedrooms to be properly furnished, with appropriate lighting. The bathrooms were in sanitary condition, properly maintained.

LPA checked the kitchen area and observed there are 2- days perishable and 7- days of non-perishable food supply. LPA observed toxins inside the home to be locked away and inaccessible to clients. Smoke detectors were tested and are operational and care home also has a carbon monoxide detector. Facility has a built-in sprinkler system. Fire extinguishers (1/12/23) and first aid kit are maintained and ready for emergency use. Care home also conducts monthly fire/disaster drills documented in a fire drill log. LPA reviewed two staff & two residents files.

No deficiencies were citied during this inspection. Exit interview held with Administrator Ronald Dato and copy report left .