Facility Evaluation Report

Licensing Program Analyst Melissa Spaeth conducted an unannounced annual visit on 9/29/2023. LPA was greeted by the caregiver and stated the purpose of the visit. The caregiver confirmed there are three clients living at the facility. The facility is licensed for four ambulatory and two non-ambulatory residents. The Administrator arrived at 1:35 pm.

LPA and Caregiver began the tour at 1:30 pm until 2:00 pm. LPA observed the following:

Kitchen – LPA observed the kitchen area was neat and clean. LPA observed a two-day supply of perishable food and a seven-day supply of non-perishable food. There were no cleaning solutions stored underneath the kitchen sink. The knives were locked in a kitchen cabinet. The fire extinguisher was located nearr the kitchen.

Common areas – LPA observed the living room/dining room contained comfortable seating, a dining room table, and chairs. The family room contained comfortable seating and a television.

Hallway - LPA observed the locked hallway closet which contained residents' medication. There was a cabinet which contained clean linens.

Garage – The garage was locked and contained the cleaning solutions, additional hygiene items, and additional refrigerator.

Laundry Area – The washer and dryer were in the laundry area. A locked cabinet above the washer contained the first aide kit and additional first aid supplies.