Facility Evaluation Report

Licensing Program Analyst Shawna Doucette (LPA) arrived at the facility unannounced to conduct a Required Annual inspection. LPA was met by Administrator Ty Scherer and Administrator Steven Cruz.

LPA conducted a tour inside and outside of facility. Facility observed to be clean, and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. Kitchen toured, appeared clean and safe for food preparation. Food supply checked, LPA observed an adequate supply of food. Resident rooms checked. Hot water measured. Facility was set at 69 F. Exterior tour conducted, all exits open and free of obstructions.

Fire extinguisher serviced on 04/28/2025. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Last fire drill conducted 05/12/2025. All cleaning supplies are locked and secured in a storage closet. Medications were locked in the office in the medication cart.

LPA reviewed staff and client files. Medications were reviewed. Centrally stored log was complete.

An exit interview was conducted with the Administrator and a copy of this report was provided.