Facility Evaluation Report

At 10:00am Licensing Program Analyst (LPA) Jeffries arrived announced to the facility to conduct a pre-licensing facility inspection. LPA met with facility administrator Garrett Haner-Tomasko announced who he is and the reason for the visit.

This facility is located on approximately 3 acres in a rural area. There is a gated complex with two identical facilities. This facility has 10 bedrooms and 12 bathrooms. Rooms are single and/or double occupancy which each of the 10 bedroom having a full privet bathroom, the other two bathrooms are resident, staff and visitor bathrooms that are in common areas. The facility has a sprinkler system and was pressure tested by Great Western Alarm on 12/14/2023. The carbon monoxides and smoke detectors are placed throughout the facility and are functioning properly. LPA observed 4 fire extinguisher placed throughout the facility all tested and in the green charge range. All passage ways and exits are free and clear of debris. Current fire clearance shows the facility is cleared for 15 non ambulatory residents under the current license. The new fire clearance for the new change of ownership (CHOW) pre license states that the facility is cleared for 9 non ambulatory residents. LPA and Licensee disused the need to address the new fire clearance with local fire authority based on the number if non ambulatory beds, considering the current specific population of resident currently residing at this facility. LPA advised Administrator to contact local fire authority and is addressed in this report as a technical advisement (TA). Administrator will contact LPA as to the resolution of how to address the non ambulatory resident numbers, considering the new fire clearance. .

Administrator and LPA conducted a walking tour of the facility. LPA observed at least two days of perishable foods and at least 7 days of non perishable foods on hand for at least fifteen residents and staff. LPA noted that the facility was a comfortable 70 degrees (f). LPA tested the waster temperature to be within regulation range of 105*-120* (f). LPA noted that all bedrooms are properly furnished and have the appropriate lighting and linin. LPA noted that this facility has a locked med-cart located in the hallway office of the facility.