Facility Evaluation Report

On 6/9/23 at 2:15pm Licensing Program Analysts (LPA) Jennifer Fain and Maja Jensen conducted an unannounced Required 1 Year Annual Inspection. LPAs met with Kelly Kramer Administrator and explained purpose of visit.

LPAs and administrator toured both indoors and outdoors of facility. LPAs observed the physical plant, food service, medications, client and staff records. The outside of the facility was observed to be in good repair and safe for residents. The outdoors had a shaded seating area and activities for the residents including but not limited to gardening, frisbee golf, basketball and large format connect four. The inside of the facility was observed to be in good repair. Bathrooms and showers were sanitary and in good repair. The hot water temperature was measured at 106 degrees Fahrenheit which is within the required range of 105-120 degrees Fahrenheit. Facility was maintained at a comfortable temperature. Required amounts of stored and perishable foods were present. Bedrooms were observed to be in good repair. Bedding, storage and lighting were adequate. Medications, chemicals, and toxins were inaccessible to residents in care . Smoke detectors and carbon monoxide detectors were tested and operational. Facility is equipped with a central pull fire alarm. Fire extinguisher was fully charged and inspected on 3/8/23. First aid kit was fully stocked for use. Facility license was openly posted for viewing. Administrator’s Certificate expires 4/29/24.

4 staff and 4 resident’s records were reviewed and were in good order.