Facility Evaluation Report

Licensing Program Analyst (LPA) Ryan Gardner conducted an announced visit to complete the facilities Pre-licensing inspection. LPA met with Caregiver Elodia Horwedel who is here today in place of Licensee Laura Pifer. The application is for an Adult Residential Facility for four (4) ambulatory clients. The fire clearance was approved on 10/24/2022.

The facility is a four (4) bedroom, two (2) bath home. There are two (2) client bedrooms, one (1) staff bedroom, one (1) staff office, a kitchen/dining area, two (2) living room areas, a locked laundry room, a backyard, and an attached garage. LPA Gardner and Caregiver toured the interior and exterior areas of the facility. The following areas were inspected:

Client Bedrooms : All bedrooms will have the required bedding and furniture, such as, clean mattresses/linen, nightstands, dressers, chairs, and lighting.

Client Bathroom : The bathroom appliances were operating in safe and sanitary condition. The water temperature was measured by LPA, the thermometer read at 114 degrees F.

Kitchen and Dining Areas : Utensils and dishware are in good repair and ready for client use. Kitchen appliances and countertop were free of debris and in good repair. The refrigerator was measured at 45 degrees F and the freezer was measured at 0 degrees F. The knives and sharps were safely locked and secured. The medication box was secured and locked.

Common Sitting Areas : There is adequate seating in the common areas. The facility has a supply of activities for the residents.