Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted by the caregiver. LPA stated the purpose of the visit was to conduct an annual inspection. The caregiver confirmed there are four clients. The facility is licensed for four clients. The House Manager arrived at 10:10 am.

LPA Spaeth and the caregiver toured the location at 10:10 am until 10:30 am.

Common Areas – LPA observed the living room contained comfortable seating and a television. The dining room area is furnished with a table.

Laundry Room – The laundry room contained washer and dryer.

Hallway Closets – The hallway closet was locked and contained laundry detergent, cleaning solutions, and resident hygiene items.

Kitchen – LPA observed a two-day supply of perishable food and a seven-day supply of non-perishable food items. The medications are locked in a kitchen cabinet. The cleaning solutions and knives are locked underneath the kitchen sink.

Hot Water Temperature – LPA tested the water temperature at 10:30 am which was 115.0 degrees F.

Resident Bedrooms - There are four resident bedrooms which are furnished with a bed, linens, night stand, chest of drawers and a closet.

Bathroom – There are two bathrooms in the facility which contained hand soap, paper towels and a trash can.