Facility Evaluation Report

Unannounced Annual visit made out to this facility on 03/25/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility caregiver, Betty Mitchell, who was briefly interviewed. This LPA requested that the facility caregiver go ahead and contact the facility designated Administrator, Casey Blevins, to inform him that CCL was present at this time. Assistant Administrator, Kesha Jones, arrived later to this facility while this LPA was conducting this annual visit.

This facility was vendorized through the regional center, Valley Mountain Regional Center, to accept and retain Level 3 regional center clients at this time.

Current census was 4, of which, one resident was out at their respectable day program at this time.

It was learned that there weren't any residents under the care of hospice at this time.

It was learned that there weren't any residents diagnosed with dementia at this time.

Administrator certificate was observed to be present and in compliance at this time for facility designated Administrator Casey Blevins. Additional forms and documents were reviewed to make sure that the renewal process was initiated prior to the certificate expiration date of 04/12/2025 with certificate # 7003004735.

Kitchen area was toured. Cabinets and drawers were reviewed.

Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities at this time. A tour of the dining area, living area, and all other areas intended for resident use was conducted.

Medication cabinet and supplies, located in the entry way closet, was reviewed. Policies and procedures involving dispensing, documenting, and overall administration of resident medications was discussed with the facility caregiver at this time. This medication cabinet was observed to be locked and made inaccessible to the residents at this time.

A tour of the resident bedrooms and restrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time.

Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees.