Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Smith arrived at the facility unannounced at 9:00 a.m. to conduct a required one year/post-licensing annual inspection. The LPA met with the Director of Nursing Wendy McCain and Administrator Sharon Volner and explained the reason for the visit.

The LPA toured the facility inside and outside with staff ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN : Kitchen knives are stored locked and inaccessible in the closet in the hallway. Appliances in the kitchen were clean and all appeared functional. The facility has a sufficient supply of perishable and non-perishable food. At 9:17 a.m., the hot water in the kitchen registered at 120.6 degrees Fahrenheit. Cleaning supplies are kept locked in a hallway closet.

BEDROOMS : The facility has designated three shared bedrooms for clients. All rooms are set up with beds, nightstands, lamps, chests of drawers, chairs and closet space. Lighting in the rooms was adequate.

BATHROOMS : There are four full bathrooms and one-half bath. The half bath is designated for staff use only. Two out of the three client rooms have an attached bathroom. Bathrooms were stocked with supplies and paper towels. The showers and bathtubs are equipped with nonskid surfaces and/or mats.

COMMON AREA: The common areas were appropriately furnished, and the lighting was adequate. There is a television and other entertainment equipment in the living room area. There is a fireplace in the living room but was observed without any tools. The facility maintained a comfortable temperature. Smoke detector(s) and carbon monoxide detector were tested at 9:24 a.m. and were operational at the time of the visit. The fire extinguishers were fully charged and serviced 3/1/2021.