Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted by the Administrator. LPA stated the purpose of the visit was to conduct an annual inspection. The Administrator confirmed there are four residents. The facility is licensed for four residents. The Licensee arrived at 10:30 am.

LPA Spaeth and the Administrator toured the location at 10:00 am until 10:30 am. LPA observed the facility was neat and clean.

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

Hallway Closet - LPA observed the closet was locked and contained resident medications, first aid kit, resident hygiene items, cleaning solutions, and knives.

Kitchen – LPA observed a two-day supply of perishable foods and a seven-day supply of nonperishable foods. LPA observed there were no safety issues in the kitchen. LPA tested the water temperature at 10:15 am which was 106.1 degrees F.

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

Laundry Room - The laundry room was locked and contained washer/dryer and laundry soap.

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