Facility Evaluation Report

At 10:08am on 07/17/2025, Licensing Program Analyst (LPA) Rankin arrived to the facility, unannounced to conduct the annual facility inspection. LPA met with Administrator, Jamie Staine, and provided the reason for the visit.

The facility is maintained in conformance with state fire marshal regulations. Smoke detectors and carbon monoxide detectors were tested and working at the time of the visit. Fire extinguisher was fully charged. Inside and outside passageways are free from obstruction. The facility has a backyard for resident use with furniture and shade available. Residents’ rooms are appropriately furnished with adequate lighting. LPA observed an adequate amount of perishable and non-perishable food. Food is stored in appropriate containers in the refrigerator and freezer. Disaster drills are conducted frequently.

LPA reviewed medications and Centrally Stored Medication Records (CSMR). Medications are stored in a locked cabinet. LPA reviewed a sample of client CSMR. LPA reviewed client and staff files. All client files reviewed have current physicians report, needs and services plans and admission agreements. Staff files reviewed had first aid certificates, health screenings and new trainings are scheduled for next week to ensure updates are made for securing items with potential hazards.

LPA was unable to complete annual at time of visit and will return at a later date to complete.

Exit interview conducted and report given.