Facility Evaluation Report

Licensing Program Analyst (LPAs) Noel Wolf Petersen and Michael Bilger conducted an unannounced Required 1 year Inspection Visit. LPA met with Administrator Michael Fharell and explained the purpose of visit. Administrator's Certificate expires 11/14/2026.

LPA and direct care staff inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, and outside backyard. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. LPA measured the hot water temperature in resident's bathroom at between 105* to 120* degrees Fahrenheit. First aid kit was checked and is complete. LPA observed carbon monoxide detectors in the facility.

Fire extinguisher last inspected on 5/2/25. Smoke detectors are operational. LPA observed centrally stored medications are kept locked and inaccessible to residents. LPA reviewed and compared resident medication vs. medication logs. Medication is missing without being reflected in the mar. The facility conducts fire/disaster drills with residents quarterly.

LPA reviewed four (4) resident files and four (4) staff files, including criminal record clearances. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks are Fingerprint cleared and associated to the facility. LPA verified staff training for staff file reviews.