Facility Evaluation Report

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct an Annual Inspection. LPA was granted entry by Staff Amalia Olivarez. Staff Amalia Olivarez contacted Administrator Adam Tauchen who responded to the facility to assist with the visit.

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, and was clean and safe for food preparation. Food supply checked, LPA observed an adequate supply of food.Resident rooms checked. LPA observed an adequate supply of linen. Hot water measured at 127.5 degrees F.

Facility was set at 75 F. Exterior tour conducted, all exits open and free of obstructions. Side gate was

Fire extinguisher serviced on 10/19/2023. Smoke detectors and carbon monoxide detectors observed

operational during today’s inspection. Facility has a pull station fire alarm. Last fire drill conducted 08/01/2024. All cleaning supplies are locked in a closet.

An exit interview was conducted with the Administrator and a copy of this report with appeal rights and plans of correction were provided.