Facility Evaluation Report

Unannounced annual visit made out to this day program on 01/29/2025 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator, Marissa West, and was briefly interviewed.

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 Marissa West. Additional forms and documents were reviewed to make sure that the renewal process was initiated prior to the certificate expiration date of 07/26/2025 with certificate # 7002224735.

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 cabinets and supplies, located in the facility medication room, were toured and reviewed. Policies and procedures involving dispensing, documenting, and overall administration of resident medications were discussed with the present facility designated medication personnel at this time. This medication room 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.

Laundry area was toured. Cabinets storing detergents and bleach were observed to be locked and made inaccessible to the residents at this time.

Linen closet, located in the laundry room, was observed to contain a sufficient supply of towels, blankets, and linens to meet the needs of the residents at this time.