Facility Evaluation Report

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 4/18/23 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with the Administrator who was present to assist with the inspection.

LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, classrooms, bathroom, kitchen, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. The program is clean. Hot water was observed to exceed 120' F in the kitchen and bathroom 2.

LPA reviewed 6 resident files. Files are complete and well organized. Missing documents were found and in file while LPA was present.

LPA reviewed 6 staff files. Files are complete. One staff was transferred to this site's roster while LPA was present.

A deficiency is being cited as a result of todays inspection.

Exit interview conducted with licensee and copy of report left at the facility.