Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 10:49 AM. LPA met with facility staff who contacted the facility Administrator Herbert Perey. The Co-Administrator Mischelle Perey arrived to the facility at approximately 11:10 AM. LPA and Co-Administrator were later joined by Administrator. Entrance interview was conducted and the reason for the visit was explained.

Beginning at approximately 10:50 AM the LPA, along with the facility staff and later the Administrator and Co-Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

COMMON AREAS : This includes the living room, hallway, and dining area. LPA observed the living room to be clean and properly furnished at the time of the visit. The living room contained a television, adequate seating, and locked storage for resident medication and files. Additionally, the living room was observed to contain all required postings, the facility telephone, emergency flashlights, and a complete first aid kit. The hallway was observed to be clean and free from any obstructions. The hallway contained closets that contained storage for linens and care supplies. Additionally, the hallway contained a locked laundry room which contained the facility’s washer and dryer in addition to laundry chemicals and care supplies. The dining area was observed to be equipped with adequate seating for resident use and contained an appropriately screened fireplace. Continued on LIC 809C.