Facility Evaluation Report

Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 9:10AM to conduct an Annual Required inspection and was greeted by Administrator, Frank Kemmeter. LPA and Administrator discussed the purpose of the visit.

LPA and Administrator initiated a tour of the facility around 09:25 AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in sinks accessible to clients measured at and 122, 127 and 131 degrees F which are not within the range of 105 to 120 degrees F allowed per regulation. However, water temperature was fluctuating and would reach the highest temperature and then go back within the required range per regulation.

Extra hygiene products and linens were available. Cabinets containing cleaning supplies were locked. Facility has at least two days of perishable and one week of non-perishable foods which were of quality and stored per regulation. Medications were centrally stored and locked. Emergency food and water is stored in the garage. Personal Protective Equipment is stored in the office.

Fire extinguishers were last serviced February 12, 2024. Facility smoke and carbon monoxide detectors located throughout the facility were tested and operational during inspection. Most recent fire/disaster drill was conducted 12/19/2023. Client cash resources were reviewed. Five staff files and five resident files were reviewed. Staff have required First Aid and CPR certificates. Medications and medication records were reviewed. Administrator Certificate for Administrator, Frank Kemmeter (6044558735) is up to date and expires 06/27/2025.