Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced annual visit on 9/13/2024 and was greeted by the Administrator Merly Dee. LPA stated the purpose of the facility was to conduct an annual inspection. Staff confirmed there are four residents living at the facility. The facility is licensed for six non-ambulatory residents.

LPA and the caregiver toured the facility at 10:45 am until 11:15 am.

Common Areas /Dining Room – LPA observed the living room contained comfortable seating along with a television. The dining room area contained a dining room table and chairs.

Kitchen – LPA observed the kitchen was neat and clean. The knives were securely locked in a kitchen drawer. The facility contained a two day supply of perishable food and a seven day supply of non-perishable food items. A fire extinguisher is also located in the kitchen.

Resident Bedrooms - There are five bedrooms in the home which are furnished with a bed, linens, night stand, chest of drawers and a closet.

Hallway Closets – LPA observed a kitchen closet which contained medications and first aid kit. A hallway closet contained linens.

Bathrooms - LPA observed the three bathrooms contained hand soap, paper towels, grab bars, and slip resistant mat. LPA tested the water temperature at 10:55 am, which was 105.0 degrees F.