Facility Evaluation Report

***This is an amended report to correct the time of visit and record reviews.***

At approximately 1:15PM, Licensing Program Analyst (LPA) Chris Arnhold conducted an unannounced Annual Required inspection to this facility and met with Administrator Kim Johnson. At approximately 1:30PM, LPA toured the building and grounds. LPA observed a light switch in one bathroom with a broken cover plate. Repair was underway. The facility recently repaired a section of the roof that was leaking. The ceiling was damaged due to the leak. LPA was informed the section will be repaired when it dries. LPA observed all walkways and exits to be unobstructed. The amount of fresh and non-perishable foods was within regulation. Toxins are secure and not accessible to clients. Medication is centrally stored and secure. There is a sufficient supply of hygiene products and linens on hand for client use. Mattress pads were in place or available for Client use. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to clients. Fire extinguishers inspected were charged. Smoke detectors were tested and found to be in working order. Facility has fire sprinklers throughout. Carbon Monoxide detector was present. Disaster Drills are conducted quarterly.

At approximately 2:30PM, LPA reviewed 5 Client records and 3 staff records, which were all found to be well organized, thorough and contained the required documentation. First aid and CPR certification were current in staff files reviewed. Administrator's Certificate was current with an expiration date of 04/08/2024.

No citations issued during this inspection.