Facility Evaluation Report

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Administrator Sheila Meyer. The facility's license shows a maximum capacity of thirty (30) non-ambulatory residents, ages 60 and above. The facility is approved for a RHCP for inhalation-assistive devices; indwelling urinary catheters and diabetes. During today’s inspection there were 27 residents in care.

LPA and Administrator Sheila Meyer toured the interior and exterior of the facility and inspected the day program room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows, screens, toilets, and showers were in working order. Hygiene supplies were present, as well as Personal Protective Equipment (PPE). The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas. A pool and fountain exist on facility property, both of which were inaccessible to residents. Per Administrator Sheila Meyer, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility.

LPA interviewed staff and clients, and reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas.

No deficiencies were cited during the inspection. An exit interview was conducted with Administrator Sheila Meyer, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.