Facility Evaluation Report

Licensing Program Analyst Jason Lund arrived unannounced to conduct annual/required inspection. LPA Lund Administrator Deborah Mensonides and explained the reason for the visit. Census: 6

This facility is vendorized, through Valley Mountain Regional Center, to accept and retain Level 2 residents. LPA Lund and Administrator Deborah Mensonides tour/inspected the facility was conducted.

Medication cart, located in staff restroom, was reviewed. Policies and procedures surrounding medications was discussed with the facility designated Administrator. First aid kit was observed to be present and contained all of the required components at this time.

Kitchen area was toured. Cabinets and drawers were reviewed to make sure that there was a sufficient amount of flatware, dinnerware, and items for resident use.

Food storage units were reviewed to make sure that there was a sufficient supply of 2-day perishable and 7-day nonperishable quantities at all times. An additional food storage unit was observed to be in use and present in the garage area. Garage area was toured.

Laundry area was toured. It was learned that residents were encouraged and scheduled for completing their laundry with the assistance of facility personnel. Laundry detergent, bleach, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time.

A tour of the resident rooms was conducted. Resident bedroom furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time.