Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced annual visit on 12/14/2023. LPA was greeted by the caregiver. The caregiver spoke to the Administrator via phone call and the Administrator confirmed the caregiver will accompany LPA for the tour of the facility. The facility is licensed for four ambulatory clients and there are four clients living in the facility.

LPA Spaeth and the caregiver began the tour at 9:10 am until 9:40 am. LPA observed the following:

Common areas – The living room and family room contained comfortable seating. A television is located in the family room. The dining room contained a dining room table and chairs.

Hallway closet- LPA observed the clients’ files and medications were stored in the closet along with the knives, PPE supplies, first aid kit, and emergency food.

Kitchen – LPA observed a two day supply of perishable food and a seven day supply of non-perishable food. There were no cleaning solutions stored underneath the kitchen sink. A fire extinguisher is located near the kitchen area and was operable. The kitchen was neat and clean.

Garage – The garage was locked and contained the cleaning solutions.

Backyard – There is a shaded seating area in the backyard. The gate leading from the backyard to the front yard was not locked.

Resident Rooms - LPA observed the resident rooms contained bed, linens, night stand, lamp, closet and chest of drawers. All rooms were neat and clean.