Facility Evaluation Report

Unannounced annual inspection conducted by Licensing Program Analysts (LPAs) Kimberly Viarella and Charlie Yang. LPAs identified themselves and the purpose of their visit to staff and instructed them to contact the designated facility administrator to let them know of their arrival. A brief interview of staff revealed that the current census was 6 residents of which 2 residents were present while 4 residents were out at this time. LPAs were also told that there were 2 staff members working today. LPAs were led into the house and set up in the dining room while they were waiting for the administrator to arrive.

Mandy Witthar, administrator assistant, arrived and provided a tour of the facility. LPAs were shown the common rooms and there was enough furniture, furnishings and lighting to be in compliance at the time. The laundry room was then inspected and the LPAs observed cabinets with locks above the washer and dryer. A bathroom was adjacent to this space and LPAs measured the hot water to ensure that it was within 105 and 120 degrees as required. LPAs also inspected underneath the bathroom cabinets to ensure that no toxic chemicals were present.

The tour progressed to the garage. There LPAs observed locked cabinets where chemicals and other locked cabinets with non-perishable items. Staff and employee files were also located in a cabinet in the garage. LPAs exited the garage and performed an exterior inspection of the facility.

LPAs observed a 6 foot deep in-ground pool in the backyard. The yard was enclosed by a fence. There was a patio and sitting area for residents along with a portable basketball hoop. LPAs were led to a shed on the side of the house. LPAs asked the assistant administrator to unlock the shed and LPAs observed miscellaneous storage. LPAs proceeded back into the house and the tour continued in the kitchen. LPAs instructed the administrator assistant to open all cabinets and drawers to ensure that all sharps and medications were secured and not accessible to ensure the safety of residents in care. LPAs also inspected the refrigerator and storage areas to ensure that there was a sufficient food supply of 7 days of