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 8:07am . During today’s visit, LPA met with Julie Cooper, Administrator (AD).

The facility is a single story, five bedrroom, three bathroom residential home with an attached garage and basement and has an approved fire clearance for five non-ambulatory and five bedridden. The facility currently has a census of five clients in care.

During today’s visit, LPA toured the facility and inspected the physical plant; testing all smoke detectors, testing hot water temperature in three of three client bathrooms, and testing auditory devices on all exits . LPA observed ceiling Hoyer lifts in all client bedrooms with proper linens and required furnishings. The hot water temperature measured between 107.4 and 107.7 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 observed the Automated External Defibrillator (AED) which was checked on January 6, 2025.

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. The First Aid Kit had all of the required elements with an American Red Cross manual.

LPA reviewed three of three staff training and fingerprint records and conducted a complete review of client records. Client P&I records were reviewed and were accurate. LPA engaged with clients regarding their quality of care and spoke to staff present regarding care provided.