Facility Evaluation Report

On 06/20/2024 at 1:29 PM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with Administrator Shannon Hamling. LPA explained the purpose of the visit and was accompanied by Staff inside and outside the facility during this inspection.

The facility is licensed to operate for (5) non-ambulatory adults of which (5) may be bedridden ages 18 - 59. Currently, the facility has (1) hospice client in care and (3) clients over 59 years old. The facility is approved for (2) hospice clients and (2) out of (3) clients have age exceptions. The clients are Harbor Regional Center consumers. Annual Fees are current.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: (5) clients' rooms, (2) bathrooms, a living area, a dining area, a kitchen, an outside seating area, and a garage used for storage.

Outside grounds were toured and no bodies of water were observed. Patio furniture under a shaded area was accessible to clients. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises.

5 out of 5 client’s bedrooms were checked. Mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathroom toilets and water faucets worked properly. LPA Cloyd tested hot water temperature and it measured 116.4 degrees Fahrenheit. This facility provides clients with hygiene products such as nonmedicated soap, toilet paper, toothbrush, toothpaste, and comb.