Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived at 11:05 am to conduct a 1-year annual visit to the facility above. LPA met Administrator Justin Penrod and explained the purpose of the visit.

A tour of the inside and outside of the facility was conducted with Administrator. The following was inspected and noted during the annual visit:

Physical Plant & Environment Safety: The facility is a 4 bedroom and 3 bathroom facility currently occupying 4 residents and employs 10 staff. The facility is clean, safe, and sanitary. The facility has dual smoke and carbon monoxide detectors which were tested. The lighting and lamps are sufficient for the use of the facility and for client’s comfort. The showers have non-skid mats. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are in a locked closet off the main hallway, this door should self-lock when closed. The facility has sufficient space inside and outside for activities and visiting. The facility has an enclosed backyard for client use with plenty of shade. The facility has telephone and internet service for client use. Water temperature were within regulation requirements and the facility checks and keeps a monthly log of temperatures. Facility has a recent contract with a new pest company to ensure in their rural area the facility remains free of pest, insects, and vermin.

Operational Requirements: The facility has a current plan of operation and infection control plan on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility is approved for a capacity of 4 Ambulatory.