Facility Evaluation Report

Licensing Program Analyst (LPA) Jacqueline Shaw-Ross conducted an unannounced annual required visit on 03/25/2026. LPA was granted entry and met with Administrator, Kathi Baer, who was informed of the purpose of the visit. The facility is licensed to serve neurologically handicapped head injured adults, aged 18-59, all of whom may be non-ambulatory. At the time of the visit there were (4) clients present.

The facility is a one story facility with (3) activity rooms and (3) bathrooms for clients between the ages of 18-59. LPA conducted a tour of the interior and exterior of the facility and observed the following:

Infection Control: The LPA observed the hand washing stations in the facility had a hand washing sign with proper steps on hand washing. LPA also observed gloves in client restrooms, and cleaning supplies to do regular cleaning of the facility.

Physical Plant: LPA observed activity materials in activity rooms. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. There is an adequate number of activity rooms for the capacity of the facility. The outdoor area was observed to have a shaded area for clients and was free of hazards. Chemicals were observed in a locked maintenance closet.

Operating Requirements: The facility has secured a fire clearance that is for 28 non-ambulatory clients combined with the residential program next door.

Food Service: LPA observed kitchen used for therapy had the ability to prepare food in a clean environment and possessed equipment in good working condition.