Facility Evaluation Report

Licensing Program Analyst (LPA) Teresa Camara conducted a pre-licensing visit to the above noted facility. The LPA met with applicant Victoria Redlin. This is a new facility. A dementia program was included in the plan of operation. A Hospice Waiver for six (6) has been requested.

The facility is one-story. At 11:12 a.m. a physical plant tour was conducted inside and out. An approved fire clearance was received for six bedridden residents. The facility has two (2) double-occupancy resident bedrooms and two (2) single occupancy resident bedrooms. Bedroom number one (1) has a direct exit with a ramp to the outside; the other bedrooms do not have an exit to outside. All resident rooms are set up with beds, night stands, lamps, chairs, closet space, closet organizers and dressers for storage. The beds are furnished with either platform bed base, spring bed base or box spring with comfortable mattresses and clean linen; which includes, a mattress cover, top and bottom linens, pillowcases, blanket (if needed) and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. In addition, no bedroom was used as a passageway to another room, bath or toilet. There is no designated staff room, therefore awake night staff is required. All rooms were free of odors. All window screens were clean and maintained in good repair.

There are three full bathrooms in the house. The two primary resident bathrooms each have a roll-in shower with non-skid mats with grab bars. The hot water temperature was tested and found to be within the range of 105*F and 120*F; with an average of 112.3*F. The facility smoke alarm system is hard wired. The smoke detectors and carbon monoxide detectors were tested and functioned properly during the time of visit. The facility also has a fire suppression sprinkler system. There were three fire extinguishers located in or near the kitchen all purchased in September 2022. Resident and staff records are stored in a locked cabinet in the garage. Medications are centrally stored in a locked closet at the entryway. The first aid supplies were complete, including a thermometer and a current version of a first aid manual which were also stored in the medication closet.