Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted by the lead staff member and two staff members. LPA stated the purpose of the visit was to conduct an annual inspection. The facility is licensed for four ambulatory clients in which four may be non-ambulatory. The lead staff member stated the Administrator was out for the day and confirmed there are two clients living in the facility.

LPA conducted a tour of the facility at 10:30 am until 10:55 am with the lead staff.

Living Room – the living room is spacious and contained comfortable seating.

Office - The medications, client files, and resident files were locked in a cabinet within the office.

Kitchen/Dining Room - The knives were locked in a kitchen drawer and the cleaning solutions were safely locked underneath the kitchen sink. A fire extinguisher is also located within the kitchen area. Appliances in the kitchen appeared to be functional. The dining room area is spacious and contains a dining room table and comfortable seating.

Family Room – LPA observed the family room was spacious and contains comfortable seating and a television.

Backyard - The backyard contained a shaded area with comfortable seating. A staff break area is located in a building in the backyard. Another building is used for storage. The side gate leading from the backyard to the front yard was not locked.