Facility Evaluation Report

Licensing Program Analyst (LPA) Correia conducted an unannounced visit to conclude the annual inspection initiated on January 17, 2024. LPA was met by Administrator Assistant Guth, identified herself, was granted entry into the facility, and stated the purpose of today’s visit.

During today's visit LPA Correia, accompanied by Administrator Assistant Guth, observed the facility's temperature measured at 72 degrees Fahrenheit. The hot water temperature, from faucets used by clients in care, measured between 110.5- and 115.0-degrees. Disinfectants, cleaning solutions, and poisons were inaccessible to clients. Client bedrooms were equipped with the required furnishings and linens, and sanitary. Client bathrooms were observed to be sanitary, in good repair, and the shower/bathtubs had nonskid flooring and grab bars. LPA observed the facility had an adequate supply of clean linens in good repair and sufficient hygiene products for personal use.

During today's visit all smoke and carbon monoxide detectors were in operable condition. Per, Administrator Assistant Guth, the facility has no ammunition or weapons, or bodies of water, on the premises. The facility was stocked with a 2-day supply of perishable and 7-day supply of nonperishable food items. The food was observed properly stored. Medications are stored in a locked cabinet and administered according to the label instructions. The facility's last disaster drill was conducted on November 1, 2023. Per staff records reviewed, individuals subject to a criminal record review obtained clearance; staff responsible for direct care and supervision have current First Aid and CPR training. Administrator certification was also current.

Based on today's visit, there were no deficiencies observed during today's annual inspection continuation visit in the areas evaluated. An exit interview was conducted, and a copy of this report will be provided. Signature below confirms receipt of the documents.