Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection and met with Administrator (ADM) Jennifer Ryder. There were 4 clients and 4 staff present during the annual inspection.

LPA toured the interior and exterior of the facility with ADM to include but not limited to the kitchen, office, client rooms, dining room, bathrooms, back and front of the facility. Facility thermostat temperature display was observed at 68 degrees F. All exit and passageways were free and clear of obstruction.

LPA toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA measured refrigerator temperature at 37 degrees F and Freezer at 0 degrees F.

LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to clients in care.

The facility was equipped with smoke and carbon monoxide detectors. All smoke detectors functioned properly when tested by ADM. Fire extinguishers were last serviced on 3/10/2025. LPA reviewed the facility first aid kit. The facility emergency drill log was reviewed. The facility's last drill was conducted on 2/13/2025. Drills are being conducted monthly.

LPA toured 4 client rooms. 4 out of 4 client rooms have a bed, functioning lights, dresser/table, a chair, bedding and space for personal belongings. LPA toured 6 client bathrooms. 6 out of 6 bathrooms had hand soap, paper towels, functioning lights, and covered trash bins. LPA measured water temperature at 115.8 degrees F.