Facility Evaluation Report

On September 11, 2025, Licensing Program Analyst (LPA) Kayla Adkison arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Jessica Bernhardt, Administrator, and explained the purpose of the visit. One staff member was present during the inspection. No residents were present.

LPA and Administrator toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to: common areas, one (1) bedroom, kitchen, activity room, exercise room, garage, backyard, and two (2) common restrooms. All areas observed were found to be clean and in good repair.

Facility has a 2-day perishable and a 7-day non-perishable amount of food. Administrator states they are conducting daily shopping trips for the following day to ensure produce and food items are fresh for resident meals. LPA observed all sharps to be kept locked in a kitchen drawer and inaccessible to residents. Hot water temperature measured within Title 22 regulations of 105 F and 120 F. No medications are currently being stored or provided to residents in the program. The facility has a variety of games, cards, art supplies, and other activities available for client use. Administrator provides a daily update, via text message, to resident's family's with the activity plan, lunch menu, and discussion points for the day. The facility is periodically utilizing volunteers to provide therapy dog visits, manicure/pedicure services, and companionship.

LPA observed two (2) fire extinguishers charged and ready for emergency use. LPA observed smoke working carbon monoxide and smoke detectors throughout the facility. LPA observed an emergency disaster drill log with the last drill conducted in March 2025. The facility has been conducting drills every six months. LPA and Administrator discussed the need to be conducting drills quarterly. LPA observed a complete first aid kit ready for emergency use.

In the areas toured no immediate health, safety, or personal rights violations were observed.

LPA reviewed a total of four (4) residents' files, two (2) staff files and 1(one) volunteer file which all contained the required documentation. No deficiencies are being cited as a result of this inspection. Exit interview conducted and a copy of this report was provided to Jessica Bernhardt, Administrator, via email.