Facility Evaluation Report

Licensing Program Analyst, LPA, Noel Wolf Petersen arrived unannounced to continue the annual inspection which was cut short due to time constraints. LPA met with administrator Carie Snodgrass to explain the purpose of the visit.

Physical plant inspection and client file review were completed on the original visit 1/30/26. Fire extinguishers are dated 1/27/26, water temperature was measured within range 105-120*F, CO/smoke alarm is functional in both buildings. Only note was related to a cracked door in a residents room that opens to the outside. there are other doors that lead outside in that room. Administrator provided a work order would be made for the door, pictures of the completed repair should be sent to the LPA by 3/4/25.

Staff files were reviewed, including but not limted to background checks for doj/fbi, conitnuing and inital trainings, first aid certification, and health screening, files are present and up to date. LPA gave guidance that there are a lot of diabetic folks in the facility, more training time could be devoted to topics in diabetic care.

Administrator files were reviewed. including but not limited to the facility posters; license, facility sketch, ombudsman reporting number, licensing reporting number, evacuation plan, client rights, residential council, family council, and administrators certificate(has a pending renewal). and Infection control plan. up to date and present. control of property, should be established on a lease agreement available for review by the department. The landlord(also the owner of the corporation) should write a letter adknowleging that a buisness is renting the property and lengthy notice would be given if the property was to no longer rent to the buisness to afford time for the clients of the buisness to go through the eviction procedure.