Facility Evaluation Report

Licensing Program Analysts (LPAs), Martha Arroyo, Trevor Byrne, and Angela Barutyan conducted a pre-licensing visit to this property at 10:00 a.m. LPAs met with Applicant Representative Graciela and Cheryl Macht as this is a change of ownership application from Grandma Ebing’s Senior Care #567609752 to Gracie’s Senior Care #565850504. The applicant has obtained fire clearance for a total capacity of six (6) residents, five (5) non-ambulatory in bedrooms #1 - #3, and one (1) bedridden in bedroom #3. The facility has a dementia program in place.

LPAs inspected facility for Fire Safety, Personal Accommodations and Services, and Food Service. At 10:24 a.m., hard-wired smoke alarms and carbon monoxide detectors were tested and function properly. LPAs observed one (1) fire extinguisher to be new and fully charged on 01/27/2024.

There are three (3) double occupancy bedrooms for resident use and one (1) staff room. Each bedroom is equipped with clean mattresses, pillows, and bedding. There is a closet in the hallway with a sufficient supply of linens, including blankets, bath towels and wash cloths. Bedrooms have sufficient lighting. The facility has two (2) bathrooms for resident use. Resident bathrooms contained appropriate non-skid mats and grab bars. Bathrooms have sufficient paper products. Hot water temperature was measured in both bathrooms, and they measured between 105- and 120-degrees Fahrenheit. LPAs observed trash cans with tight fitting lids at the time of the visit.

LPAs toured the kitchen area at 10:13 a.m. The facility has at least seven (7) day supply of non-perishable food and two (2) days perishable food. Appliances and all equipment appear to be clean and in good repair. Kitchen knives, sharps, and cleaning supplies were observed under the sink locked and inaccessible. The kitchen has a sufficient supply of plates, cups, cookware and utensils.