Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 at 12:05pm . During today’s visit, LPA met with Julie Cooper, Administrator.

The facility is a single story, five bedroom, two bathroom home with an approved fire clearance of five non-ambulatory. The facility currently has a census of five clients in care. Four were present at the time of visit and one was out for a medical appointment with two staff members and two staff members remained in the facility.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two of two client bathrooms, and testing auditory devices on all exits. The hot water temperature measured between 111.0 to 113.9 degrees Fahrenheit and all smoke detectors were operational . The fire extinguisher is charged and was serviced on December 24, 2024 The facility’s last fire drill was conducted on December 12, 2024. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand . LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. First Aid Kit had all the required elements and an American Red Cross Manual was ordered on January 14, 2025.

LPA reviewed three of three staff training and fingerprint records a nd conducted a complete review of client records. Client P&I records were reviewed and were accurate. LPA interviewed alert clients regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on July 9, 2026.