Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Live-in DSP, Licensee Joe Geisner was available by phone . Clients were at 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 105.1 and 122.5 which is not within regulation of 105 and 120 degrees F (technical violation issued). 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 2025. Smoke detectors and carbon monoxide detector are wired located throughout the facility were tested and operational. Most recent Fire/Disaster drill was conducted 6/18/25. Cash resources and documentation were reviewed. During previous visit conducted by the department, it was advised to the Licensee, the possibility of installing a backyard ramp for any clients that may be non-ambulatory to use in an emergency. There is a door from the front of the home with a ramp for use. According to records review and interviews with staff currently all clients are ambulatory. Facility does have a current activity calendar and menu.

At 1:40 pm LPA conducted a file review of four client and two staff files. Clients records have updated care plans on file. CPR/1st aid certificates and training hours are current for all staff. Administrator Certificate for Joe Geisner 7034393735 expires 5/11/2026. Required postings were observed. annual fees are current.

The facility will submit updates of the following by 8/15/25: LIC500 (Personnel Report), LIC308 (Designation of facility responsibility), Surety bond and LIC400 cash affidavit for clients.

No deficiencies cited during today's inspection. Exit interview conducted with DSP and report given.