Facility Evaluation Report

Licensing Program Analyst, LPA, Noel Wolf Petersen arrived to the facility at 11am, on 6/17/26 to conduct a case management related to deficencies of the Fire Clearance. The Administrator is out of the facility responding to an emergency, the staff attempted twice to get in contact with her, the LPA met with the aviallible staff to explain the purpose of the visit.

The department was made aware of a county fire department report which did not pass the facility on a capacity to care for bedridden on its most recent fire inspection, A citation for failing to pass fire clearance and associated immediate 500$ civil penalty will be issued on a following d-page and lic421. The LPA gave guidance that there were observed similar citations in the facility history and the facility should know well the responsibilities and requirements at this point.

There is at least one bedridden client in the home currently. One resident on hospice. LPA interviewed 3 clients, they are responding postiviely to questions about thier care.

The report outlined two plans of compliance. The facility is in pursuit of one of the plans which will result in fire clearance for at least one bedridden. When asked about progress updates to that pursuit, the LPA was told by staff that a contractor will be arriving to take an estimate of the work today.

Citation was issued in connection with this visit, appeal rights were provided, a copy of the report was read and left with a representative of the administrator, a copy of the report will be sent to the administrator via email to the address on file. Exit interview conducted.