Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Licensee Joe Geisner . Clients were attending to Day Program.

LPA/staff initiated a tour of the facility and made the following observations: Facility was a comfortable temperature and pathways were free from obstructions. Client rooms are furnished per regulation. Water temperatures in client bathrooms read at 109.2 and 113 which is within regulation of 105 and 120 degrees F. At least two days of perishable and one week of non-perishable foods were available. Toxins are locked in a cabinet. Medications are centrally stored in locked cabinet and medication records were reviewed. Fire extinguishers were last inspected March 2023. Smoke detectors and carbon monoxide detector are wired located throughout the facility were tested and operational. Most recent Fire/Disaster drill was conducted 4/23. LPA/Licensee reviewed and discussed regulation that states to conduct a fire/disaster drill every quarter. Licensee agreed to conduct a disaster drill every quarter. Facility does have a current activity calendar and menu. Required postings were observed.

At 1:00 pm LPA conducted a file review of four client and three staff files. Clients records have updated care plans on file. CPR/1st aid certificates and training hours are current. Administrator Certificate for Joe Geisner 6016659735 expires 5/11/2024. Cash resources and documentation were reviewed.

Administrator agreed to submit updates of the following documents by 9/15/23: LIC500 (Personnel Report), LIC308 (Designation of facility responsibility), Surety bond, LIC400 cash affidavit for clients.

No deficiencies cited during today's inspection. Exit interview conducted with Licensee and a copy of this report was given.