Facility Evaluation Report

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct an annual/required visit. LPA Lund met with Administrator Massi McNeal and explained the reason for the visit. Census: 4

LPA Lund & Administrator Massi McNeal toured/inspected the facility ensure compliance with Title 22. There are three bedrooms, two of which are private, and one is double occupancy. LPA observed the rooms to be properly furnished, in good condition with appropriate lighting and furnishings. The bathrooms were in sanitary condition, properly maintained and the hot water temperature to be 109 degrees.

LPA checked the kitchen area for ability to prepare and store food. Care home has (2) two- day perishable and (7) seven-day non-perishable food supply on hand. LPA observed knives and toxins to be locked away and inaccessible to residents. LPA inspected the backyard and perimeter of the care home and observed all storage sheds to be locked and secured. There appeared to be no safety hazards to residents. Smoke detectors are hard wired and operational in care home. Home also has a carbon monoxide detector.

LPA checked medication storage and found medication to be locked away and inaccessible to residents in care. LPA reviewed 2 clients file and 2 staff files, and all documentation was in each file.

No deficiencies cited exit interview held and copy of report left.