Facility Evaluation Report

Licensing Program Analyst (LPA) Tuesday Cabiness arrived to the facility to conduct an annual inspection. LPA met with direct care staff Chase Kuty, who was informed the reason of the visit. Administrator Frank Wachter was notified who arrived shortly after. The current census is (4) and all clients were present during the visit. LPA observed licensing required signs, as well as COVID signs posted throughout the facility.

The physical plant tour consisted of: Smoke and Carbon Monoxide detectors tested and function properly. Fire extinguisher observed full charged; first aid kit completed. Kitchen: The kitchen was clean and the appliances had functional fixtures. There was a (2) day supply of perishable and seven (7) day non-perishable. Food was properly stored. There is an extra fridge located upstairs with additional perishable and non-perishable. Knives are stored inaccessible in locked cabinet. Cleaning supplies were locked in a cabinet; with laundry supplies located in the garage area. Bedrooms: There are four (4) bedrooms designated for clients use, located on the first floor. Upstairs has (2) rooms that are used for staff and storage. All bedrooms were clean, properly furnished and have sufficient lighting. Bathrooms: There are (2) bathrooms designated for clients downstairs; and (1) bathroom located upstairs. All bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 110.5 . Common Areas : The common areas (living/dining/family room) appeared clean and were properly furnished. Surrounding Grounds : Entry/exits were free of obstruction; with covered patio and furniture for client's use. Client and Staff Records : Client files included medical assessments, quarterly appraisals; Individual Program Plan, admission agreements, and all other required forms. Staff - Staff files included current first aid and CPR certifications as well as training. Medications : Physician orders for medications and centrally stored medication logs observed. Medications and logs are consistent. Medications appear to be given as prescribed. All staff and clients are vaccinated, including booster shots that were recently administered 09/20/2023.

Exit Interview Conducted / A Copy of the Report Issued.