Inspection Report
Biennial Survey
Census: 10
Capacity: 13
Deficiencies: 3
Apr 18, 2024
Visit Reason
The visit was a biennial survey to assess compliance with regulations governing the licensing and functioning of a Level IV Residential Care Facility.
Findings
The facility was found not in substantial compliance due to deficiencies in sanitation and physical plant requirements, including failure to have the fuel heating system annually inspected and tagged, unsecured outdoor meshed fencing, and hot water temperatures exceeding the allowed maximum of 120°F.
Severity Breakdown
Class III: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Fuel heating system was not tagged as inspected annually and no written evidence of inspection was provided. | — |
| Secured outdoor area meshed fencing had gaps allowing it to be lifted approximately 1-2 feet in some areas. | — |
| Hot water temperature in resident areas exceeded 120°F, measuring 127°F in bedroom bathroom #2. | Class III |
Report Facts
Census: 10
Total Capacity: 13
Hot water temperature: 127
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittany Tanguay | Administrator | Administrator was present and findings were reviewed with her during observation and exit interview |
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