Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required

annual visit at 11:41AM. The LPA was greeted by staff and informed them of the reason for the visit.

Administrator David Flood and co-Administrator Kathie Flood arrived shortly thereafter.

Beginning at 12:12PM, the LPA and Administrators toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

BEDROOMS/RESTROOMS: Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are six (6) designated resident rooms and one (1) staff break room. There are 3 (three) resident bathrooms; 2 (two) are private bathrooms and 1 (one) is a shared restroom. Restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. All restrooms were sufficiently stocked with soap and paper towels. Hot water was tested in the common restroom and measured within the required range.

COMMON AREAS: At the time of the visit, living room, family room, and dining room furniture was observed to be in good condition. There are 2 fireplaces - one in the living room and one in the family room, which were both screened and inaccessible. The facility maintained a comfortable temperature throughout the visit. Hardwired combination smoke and carbon monoxide detectors as well as fire doors were tested at 02:33PM and were operational at the time of the visit. The fire extinguisher was fully charged and purchased on 08/17/2024. The LPA observed required postings on the dining room wall.

KITCHEN: The LPA observed the facility kitchen. Knives are stored inaccessible. Cleaning supplies are stored inaccessible in the attached garage. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food.