Facility Evaluation Report

Licensing Program Analyst (LPA) Jason Lund arrived unannounced at the facility to conduct a one year required visit. LPA Lund met with Administrator Jacinta Abania and explained the purpose of today's visit.. The facility is licensed for 6 non-ambulatory residents and has a hospice waiver for 8. Census:9

LPA Lund and Administrator Jacinta Abania toured/inspected the grounds and observed them to be well maintained. All paths were free of obstruction. There is a shaded area and patio furniture available for residents to enjoy outdoor activities. All window screens were in good repair. There are outdoor activities for residents that include gardening and bird watching. LPA Lund inspected the interior of the facility. At the time of this inspection there was 2 staff members present as well as the Administrator and Licensee. The facility was sanitary and free of odor. All required furniture was present and the furniture and appliances were observed to be in good repair. LPA Lund observed all required postings displayed in a prominent place. There was adequate lighting throughout including night lights in the hallway. The bathrooms were equipped with grab bars and non-skid mats were available for the shower/bath areas. The bathroom water temperature measured at 116. degrees which is within the require range of 105 degrees Fahrenheit to 120 degrees Fahrenheit. The facility thermostat was set at a comfortable temperature for the residents. There is an adequate supply of linens on hand. The first aid kit was determined to be complete. The smoke detector and carbon monoxide detector were observed to be in good working order.