Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted by the Administrator. LPA Spaeth stated the purpose of the visit was to confirm the facility has completed the Fire Inspector, Jay Marietta’s request for the following procedures be completed by December 18, 2023.

- Maintain records of periodic testing and maintenance of the fire alarms. LPA received a copy of the Inspection, Testing and Maintenance Cover Sheet from the contractor, Fletcher’s Fire Protection dated July 25, 2023 which is documentation confirming the fire alarm had been tested.

- At 3:45 pm LPA observed the mid hallway doors that were installed on the second floor were removed.

- AT 3:50 pm, LPA observed the inspection/license sign was displayed.

There are no deficiencies to report at this time. Exit interview conducted and a copy of report was given.