Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced annual visit on 7/24/2025 and was greeted by two staff members. LPA stated the purpose of the facility was to conduct an annual inspection. Staff confirmed there are five 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. LPA observed the cleaning solutions were stored in an unlocked cabinet.

Resident Bedrooms - There are five bedrooms. LPA Spaeth observed two mattresses were on the floor and there was no bed frame in bedroom 2. Bedrooms 1, 3, 4 & 5 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 a first aid kit. A hallway closet contained linens.