Facility Evaluation Report

Licensing Program Analyst, LPA, Noel Wolf Petersen arrived unannounced to the facility to conduct the annual inspection. LPA met with administrator Patty Brooks to explain the purpose of the visit.

Physical Plant was inspected including the kitchen, bedrooms, bathrooms, common areas, exterior, and evacuation route gate. Facility is clean, the traffic areas are well lit and unobstructed. Kitchen has adequate lockable storage for sharps, toxics, and medication. There is 2 days of storage for perishable food and 7 days of nonperishable food. LPA pointed out 2 cans of expired food, LPA gave guidance to do an 6 month inventory of the food, wipe the containers for dust and remove out of date or damaged items. The bathrooms have functional hardware, water temp is measured at the basin at 110*f. Bedrooms have beds equipped with half rails, LPA gave guidance that all ralls should come with a doctors order. 1 resident has a bedrail order, other 2 residents may or may not have pending bedrails orders. Bedrooms have all required furniture and furnishings. In the common areas, Bedrooms doors have a mounted privacy screen that fits over the door, the kitchen has winding belts that can cordon off the pantry and refrigerator. It's possible that these could be used to prevent access to a common area of the facility, currently the residents seem cognitavely and physically able to bypass the cordon and the privacy screen. The LPA gave guidance to ensure that residents do have access to the common areas of the facility, as the clients decline it may be too restrictive in a personal rights sense and potentially a fire hazard. Exterior has space for activities, evacuation route gate is locked. The LPA reviewed a previous LPA's report on 7/31/24: "The City of Newman Fire Department provided an updated Fire Safety Clearance that clarified the exception to the "Access to a public way" rule found in business code regulations for Building Egress (BE), BE 1028.5." LPA notes house is a relatively modern construction and has sprinklers.