Facility Evaluation Report

On 3/28/2025 Licensing Program Analyst (LPA) M Vega arrived unannounced for an Annual Required Inspection. LPA met with Staff 1 (S1) . LPA stated the purpose of the visit and was allowed entry. Program Director (PD) Amanda Frantz was called and arrived a short time later. During this visit LPA toured facility with PD inside and out. Facility has one entrance/exit point.

The facility appeared clean, comfortable temperature recorded at 74 degrees Fahrenheit with no obstruction or fire clearance issues. Bathrooms have trash cans with lids. The exterior tour was conducted. Facility has 6 bedrooms. Every room is fully furnished. LPA reviewed clients file for emergency contact and physician report.

Kitchen observed with free of clutter and obstruction. Sharp items placed away and locked. LPA observed the required 7-day supply of non-perishable food and 2 day supply of fresh perishables to be properly stored. Water temperature tested in kitchen, Water temperature though thermometer read 114.0 Degrees F.

Cleaning supplies were observed to be locked in a laundry room. Records were reviewed for infection control training. Fire extinguisher in compliance, service date 03/28/2024.

Medications were observed to be locked in medication cart. Facility uses an electronic process to document file for administration for dispense, document and track clients’ medications. First aid kit was observed and contained all required items.

Carbon monoxide and smoke detectors were tested and observed to be operational.